RIDGECREST REGIONAL HOSPITAL (NPI# 1316353576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316353576 |
| Entity Type | Organization |
| Organization Name | RIDGECREST REGIONAL HOSPITAL |
| Practice Address |
1131 N China Lake Blvd Ridgecrest CA 93555-3131 |
| Mailing Address |
1081 N China Lake Blvd Ridgecrest CA 93555-3130 |
| Practice Telephone | 7604463551 |
| Mailing Telephone | 7604463551 |
| Mailing Fax Number | 7604462254 |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2020-01-10 |
| Authorized Official Name | JAMES A. SUVER (CEO) |
| Authorized Official Telephone | 7604993900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699398560 | Ridgecrest Regional Hospital | Ambulance | 350 E Ridgecrest Blvd Ste 107, Ridgecrest, CA 93555-3928 | 2020-05-26 |
| 1164067971 | Ridgecrest Regional Hospital | Surgery | 1111 N China Lake Blvd Ste 220, Ridgecrest, CA 93555-3131 | 2019-11-15 |
| 1679038434 | Ridgecrest Regional Hospital | Clinic/Center | 105 E Sydnor Ave, Ridgecrest, CA 93555-5546 | 2019-02-06 |
| 1639448400 | Ridgecrest Regional Hospital | Clinic/Center | 1041 N. China Lake Blvd., Ridgecrest, CA 93555-3130 | 2011-12-22 |
| 1225363468 | Ridgecrest Regional Hospital | Hospice Care, Community Based | 1653 Triangle Dr Ste 200, Ridgecrest, CA 93555-2614 | 2009-10-06 |
| 1790811289 | Ridgecrest Regional Hospital | Pharmacy | 1109 N China Lake Blvd, Ridgecrest, CA 93555-3131 | 2007-02-26 |
| 1427043157 | Ridgecrest Regional Hospital | Home Health | 1653 Triangle Dr, Ridgecrest, CA 93555-2614 | 2005-09-19 |
| 1447253125 | Ridgecrest Regional Hospital | Emergency Medicine | 1081 N China Lake Blvd, Ridgecrest, CA 93555-3130 | 2005-05-24 |
| 1710545249 | Ridgecrest Regional Hospital | Chiropractor | 840 N Norma St Ste B, Ridgecrest, CA 93555-3570 | 2019-05-30 |
| 1730544313 | Ridgecrest Regional Hospital | General Acute Care Hospital | 1011 N China Lake Blvd, Ridgecrest, CA 93555-3130 | 2015-12-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RIDGECREST REGIONAL HOSPITAL | 1081 N China Lake Blvd, Ridgecrest, CA 93555-3130 |
| Street Address |
1131 N CHINA LAKE BLVD |
| City | RIDGECREST |
| State | CA |
| Zip Code | 93555-3131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447252572 | Cornelis Vanderhoek | Internal Medicine | 1131 N China Lake Blvd, Ridgecrest, CA 93555-3131 | 2005-06-01 |
| 1669734653 | Ridgecrest Regional Hospital | Rehabilitation Unit | 1131 N China Lake Blvd, Ridgecrest, CA 93555-3131 | 2012-06-14 |
| 1265649768 | Ridgecrest Healthcare, Inc. | Residential Treatment Facility, Physical Disabilities | 1131 N China Lake Blvd, Ridgecrest, CA 93555-3131 | 2007-05-16 |
| 1306819768 | Owens Peak Medical Clinic Inc | Internal Medicine | 1131 N China Lake Blvd, Ridgecrest, CA 93555-3131 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321776 | Patrick Joseph Mccammon | Case Manager/Care Coordinator | 1400 N Norma, Ste 127, Ridgecrest, CA 93555 | 2019-11-25 |
| 1780170704 | Krista Mae Sanchez Tizon | Behavior Technician | 123 Grande Way, Suite B, Ridgecrest, CA 93555 | 2018-07-02 |
| 1245726348 | Shinta Desentia Fraya | Behavior Technician | 123 Grande Way Ste B, Ridgecrest, CA 93555 | 2018-07-02 |
| 1780114397 | Darci Turner | Occupational Therapy Assistant | 4309 W Weiman, Ridgecrest, CA 93555 | 2017-06-15 |
| 1700319407 | Telecare Corporation | Clinic/Center | 1141 Chelsea Street, Ridgecrest, CA 93555 | 2017-04-10 |
| 1245776236 | Katherine Gerow | Prevention Professional | 1131 Inyokern Rd, Ridgecrest, CA 93555 | 2017-01-13 |
| 1639552151 | Max Scott Higa | Social Worker | 1400 North Norma Street, Suite 133, Ridgecrest, CA 93555 | 2015-07-01 |
| 1184044703 | Ridgecrest Charter School | Speech-Language Pathologist | 325 S. Downs St., Ridgecrest, CA 93555 | 2014-04-22 |
| 1023366838 | Andrew Whalley | Occupational Therapist | 901 N.heritage Dr., Suite 106, Ridgecrest, CA 93555 | 2012-08-28 |
| 1831453026 | Andrew S Peters | Family Medicine | 1 Administration Circle, Stop 1311, Branch Clinic China Lake, Bldg 1403, Ridgecrest, CA 93555 | 2012-07-02 |
| Find all providers in zip 93555 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114807 | The Healing Sanctum-greenmeadow, LLC | Skilled Nursing Facility | 5302 E Greenmeadow Rd, Long Beach, CA 90808-1620 | 2020-11-06 |
| 1528667581 | Winterfest Medical Services Corporation | Skilled Nursing Facility | 8758 Winterfest Way, Elk Grove, CA 95624-1295 | 2020-10-21 |
| 1689272528 | Orchards Hc LLC | Skilled Nursing Facility | 1 Amistad Drive, Rancho Mission Viejo, CA 92694 | 2020-10-13 |
| 1083223481 | Santa Clarita Congregate Living Inc | Skilled Nursing Facility | 29830 Wisteria Valley Rd, Santa Clarita, CA 91387-1954 | 2020-07-31 |
| 1033737051 | Beautiful Homes Residential Care Inc | Skilled Nursing Facility | 22525 Cerise Ave, Torrance, CA 90505-2913 | 2020-07-07 |
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1881210847 | Ghc of Tem - Snf, LLC | Skilled Nursing Facility | 44320 Campanula Way, Temecula, CA 92592-7903 | 2020-06-24 |
| 1861018327 | Covina Clhf Corporation | Skilled Nursing Facility | 1411 S Sandia Ave, West Covina, CA 91790-3309 | 2020-06-22 |
| 1780204024 | Neighbor Care Congregate Home, Inc. | Skilled Nursing Facility | 3249 Gerald Dr, Newbury Park, CA 91320-2948 | 2020-04-16 |
| 1558998047 | Sunflower Clhf, Inc. | Skilled Nursing Facility | 1058 Ruberta Ave, Glendale, CA 91201-2105 | 2020-03-24 |
| Find all providers with the same taxonomy | ||||
| City | RIDGECREST |
| Zip Code | 93555 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.