RIDGECREST REGIONAL HOSPITAL (NPI# 1679038434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679038434 |
| Entity Type | Organization |
| Organization Name | RIDGECREST REGIONAL HOSPITAL |
| Other Organization Name | SOUTHERN SIERRA MEDICAL CLINIC |
| Practice Address |
105 E Sydnor Ave Ridgecrest CA 93555-5546 |
| Practice Telephone | 7604993900 |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2020-01-10 |
| Authorized Official Name | KYLE M GARRETT (ASST. ADMINISTRATOR SUPPORT SERVICE) |
| Authorized Official Telephone | 7604993907 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Southern Sierra Medical Clinic | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1407231210 | Ridgecrest Regional Hospital | General Acute Care Hospital | 1111 N China Lake Blvd, Ridgecrest, CA 93555-3131 | 2015-07-22 |
| 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 |
105 E SYDNOR AVE |
| City | RIDGECREST |
| State | CA |
| Zip Code | 93555-5546 |
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144594177 | Ridgecrest Regional Hospital | Clinic/Center | 409 Drummond Ave, Ridgecrest, CA 93555-3120 | 2012-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699620 | Reedley Community Hospital | Clinic/Center | 398 S Church Road, Earlimart, CA 93219 | 2020-11-06 |
| 1174130942 | Kaweah Delta Health Care District | Clinic/Center | 1000 N Mooney Blvd, Tulare, CA 93274-2417 | 2020-09-25 |
| 1922614197 | Sierra View Local Health Care District | Clinic/Center | 9520 Road 238, Terra Bella, CA 93270 | 2020-09-22 |
| 1124643598 | Valley Healthcare Centers | Clinic/Center | 369 N Church Rd, Earlimart, CA 93219 | 2020-06-11 |
| 1477177210 | Anand Narayan Md Inc | Clinic/Center | 317 W El Monte Way, Dinuba, CA 93618-1557 | 2020-06-06 |
| 1902435894 | Slt Medical Group Inc | Clinic/Center | 2024 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6498 | 2020-04-03 |
| 1881232676 | Madera Community Hospital | Clinic/Center | 121 Belmont Ave., Suite 101, Mendota, CA 93640 | 2019-12-12 |
| 1790331817 | Valley Healthcare Centers | Clinic/Center | 252 N Highway 65, Lindsay, CA 93247-2702 | 2019-08-14 |
| 1093274508 | Adventist Health Clearlake Hospital, Inc | Clinic/Center | 6300 E. Highway 20, Lucerne, CA 95458 | 2019-03-14 |
| 1659849529 | Oroville Hospital | Clinic/Center | 3579 Oro Dam Blvd E Ste A&b, Oroville, CA 95966-5200 | 2018-11-08 |
| Find all providers with the same taxonomy | ||||
| City | RIDGECREST |
| Zip Code | 93555 |
Please comment or provide details below to improve the information on RIDGECREST REGIONAL HOSPITAL.
| 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.