DR. JOHN DE GEUS (NPI# 1386955177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386955177 |
| Entity Type | Individual |
| Full Name | DR. JOHN DE GEUS |
| Credential | M.D. |
| Practice Address |
1 Administration Cir Bld 1403 Ridgecrest CA 93555-6104 |
| Practice Telephone | 7609398000 |
| Practice Fax Number | 7609390400 |
| Mailing Telephone | 7609398000 |
| Mailing Fax Number | 7609390400 |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2015-01-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101252162 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
1 ADMINISTRATION CIR BLD 1403 |
| City | RIDGECREST |
| State | CA |
| Zip Code | 93555-6104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912018847 | Naval Hospital Twentynine Palms | Military/U.S. Coast Guard Pharmacy | 1 Administration Cir, Branch Med Cln Phy Naval Weapon Ctr, Ridgecrest, CA 93555-6104 | 2006-08-31 |
| 1346748365 | Chelsea Trask | Physician Assistant | 1 Administration Cir, Ridgecrest, CA 93555-6104 | 2018-01-24 |
| 1164883369 | Naval Hospital Twentynine Palms | Military/U.S. Coast Guard Pharmacy | 1 Administration Cir, Bldg 1403, Ridgecrest, CA 93555-6104 | 2016-03-15 |
| 1750778569 | Naval Hospital Twentynine Palms | Military/U.S. Coast Guard Pharmacy | 1 Administration Cir, Stop 1311 Bldg 1403, Ridgecrest, CA 93555-6104 | 2015-04-20 |
| 1023212677 | Branch Medical Clinic China Lake | Clinic/Center | 1 Administration Cir, Ridgecrest, CA 93555-6104 | 2007-06-14 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831453026 | Andrew S Peters | Family Medicine | 1 Administration Circle, Stop 1311, Branch Clinic China Lake, Bldg 1403, Ridgecrest, CA 93555 | 2012-07-02 |
| 1790787034 | Donald J. Dixon | Family Medicine | 1111 N China Lake Blvd, Ridgecrest, CA 93555-3131 | 2005-06-01 |
| 1912900739 | Hope A Wildenberg | Family Medicine | 105 E Sydnor Ave Ste 100, Ridgecrest, CA 93555-5546 | 2005-05-24 |
| 1043661457 | Hani Chaabo | Family Medicine | 1111 N China Lake Blvd Ste 190, Ridgecrest, CA 93555-3131 | 2016-06-27 |
| 1942662572 | Jimena Anabel Repetto Frenette | Family Medicine | 105 E Sydnor Ave Ste 100, Ridgecrest, CA 93555-5546 | 2016-03-23 |
| 1679828776 | Reen Medical Group Inc | Family Medicine | 1525 N Norma St Ste B, Ridgecrest, CA 93555-6536 | 2012-07-16 |
| 1912284621 | Sandeep Reen | Family Medicine | 1525 N Norma St Ste B, Ridgecrest, CA 93555-6536 | 2011-11-08 |
| 1477849016 | Love Jeet Singh | Family Medicine | 1081 N China Lake Blvd, Ridgecrest, CA 93555-3130 | 2011-06-22 |
| 1588957492 | Everet Wayne Witzel | Family Medicine | 840 N Norma St, Suite B, Ridgecrest, CA 93555-3570 | 2011-05-25 |
| 1841507365 | Melanie Willis | Family Medicine | 1111 N China Lake Blvd Ste 190, Ridgecrest, CA 93555-3131 | 2010-09-03 |
| Find all providers in RIDGECREST | ||||
| 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.