RIDGECREST WOMEN'S MEDICAL PRACTICE (NPI# 1710200464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710200464 |
| Entity Type | Organization |
| Organization Name | RIDGECREST WOMEN'S MEDICAL PRACTICE |
| Practice Address |
1041 N China Lake Blvd Suite C Ridgecrest CA 93555-3168 |
| Practice Telephone | 7604463074 |
| Mailing Telephone | 7604463074 |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-03-09 |
| Authorized Official Name | DR. JOHN NGUYEN (PRESIDENT) |
| Authorized Official Telephone | 7604463074 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
A109246 | CA | Ambulatory Health Care Facilities |
| Street Address |
1041 N CHINA LAKE BLVD SUITE C |
| City | RIDGECREST |
| State | CA |
| Zip Code | 93555-3168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518960327 | Barbara N Bass | Dermatology | 1041 N China Lake Blvd, Ste B, Ridgecrest, CA 93555-3183 | 2005-05-24 |
| 1689024473 | Kimberly Celeste Mouzon | Nurse Practitioner | 1041 N China Lake Blvd, Ridgecrest, CA 93555-3168 | 2016-06-13 |
| 1700103520 | Aisha Indria Rollins | Pediatrics | 1041 N China Lake Blvd, Suite B, Ridgecrest, CA 93555-3168 | 2010-05-04 |
| 1639327315 | Healthy Jayantilal Desai | Orthopaedic Surgery | 1041 N China Lake Blvd, B, Ridgecrest, CA 93555-3183 | 2008-09-05 |
| 1891834446 | William P. Cannata | Surgery | 1041 N China Lake Blvd, B, Ridgecrest, CA 93555-3183 | 2007-02-06 |
| 1013068162 | Avinash M. Mondkar M.d.,a Medical Corporation | Internal Medicine | 1041 N China Lake Blvd, Suite A, Ridgecrest, CA 93555-3168 | 2007-01-16 |
| 1174579056 | Ridgecrest Regional Hospital | Family Medicine | 1041 N China Lake Blvd, B, Ridgecrest, CA 93555-3183 | 2006-05-25 |
| 1326034273 | Maurice Dusol Jr. | Internal Medicine | 1041 N China Lake Blvd, B, Ridgecrest, CA 93555-3183 | 2005-09-26 |
| 1730185992 | Bobby Ray Miller Jr. | Obstetrics & Gynecology | 1041 N China Lake Blvd, Ste C, Ridgecrest, CA 93555-3189 | 2005-06-22 |
| 1033113006 | Pedro L Farinha | Internal Medicine | 1041 N China Lake Blvd, Ste A, Ridgecrest, CA 93555-3168 | 2005-06-08 |
| Find all providers in the same location | ||||
| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538792239 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 1200 N China Lake Blvd Ste A, Ridgecrest, CA 93555-2665 | 2020-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807213 | Drmsh Corp | Clinic/Center | 2045 Thayer Ave, Los Angeles, CA 90025-5926 | 2020-07-01 |
| 1588286603 | Tri Health Medical Institute Management Company LLC | Clinic/Center | 17777 Ventura Blvd Ste 100, Encino, CA 91316-3738 | 2020-05-12 |
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1669007274 | Hough Chiropractic Inc | Clinic/Center | 11770 Warner Ave Ste 122, Fountain Valley, CA 92708-2660 | 2020-03-04 |
| 1760017412 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 2409 Artesia Blvd, Redondo Beach, CA 90278-3207 | 2020-03-03 |
| 1316572068 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 1317 Main St Ste B, Delano, CA 93215-1737 | 2020-03-03 |
| 1588299234 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 20111 W Valley Blvd, Tehachapi, CA 93561-8747 | 2020-03-03 |
| 1003440884 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 300 Old River Rd Ste 120, Bakersfield, CA 93311-9512 | 2020-03-02 |
| 1083247795 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 1025 N Demaree St, Visalia, CA 93291-4117 | 2020-02-20 |
| 1780217489 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 621 W Line St Ste 105, Bishop, CA 93514-3320 | 2020-02-20 |
| Find all providers with the same taxonomy | ||||
| City | RIDGECREST |
| Zip Code | 93555 |
Please comment or provide details below to improve the information on RIDGECREST WOMEN'S MEDICAL PRACTICE.
| 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.