BRENT RIDDER, MD,INC. (NPI# 1063848406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063848406 |
Entity Type | Organization |
Organization Name | BRENT RIDDER, MD,INC. |
Practice Address |
23961 Calle De La Magdalena #115 Laguna Hills CA 92653-3616 |
Practice Telephone | 9492064633 |
Practice Fax Number | 9498552314 |
Mailing Telephone | 9492064633 |
Mailing Fax Number | 9498552314 |
Enumeration Date | 2013-09-17 |
Last Update Date | 2013-09-17 |
Authorized Official Name | DR. BRENT W RIDDER (PRESIDENT) |
Authorized Official Telephone | 9492064633 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | CA | Ambulatory Health Care Facilities |
Street Address |
23961 CALLE DE LA MAGDALENA #115 |
City | LAGUNA HILLS |
State | CA |
Zip Code | 92653-3616 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982600938 | Robert Frank Wayner | Neurological Surgery | 23961 Calle De La Magdalena, Ste 300, Laguna Hills, CA 92653-3665 | 2005-06-23 |
1255949467 | Phillip Carr | Physical Therapist | 23961 Calle De La Magdalena, Laguna Hills, CA 92653-3616 | 2020-07-14 |
1376078980 | Denise Ann Harkless | Social Worker | 23961 Calle De La Magdalena, Suite 424, Laguna Hills, CA 92653-3616 | 2017-04-21 |
1356891469 | Jewell Justiniani-allen | Social Worker | 23961 Calle De La Magdalena, Suite 424, Laguna Hills, CA 92653-3616 | 2016-10-12 |
1487001178 | Said Elshihabi Md Apc | Neurological Surgery | 23961 Calle De La Magdalena, Suite 504, Laguna Hills, CA 92653-3616 | 2016-05-23 |
1518344647 | Soraya Dental Corporation | Dentist | 23961 Calle De La Magdalena, Laguna Hills, CA 92653-3616 | 2015-04-27 |
1396148516 | Wave Imaging LLC | Clinic/Center | 23961 Calle De La Magdalena, Suite 243, Laguna Hills, CA 92653-3616 | 2014-10-01 |
1356761126 | Neurodpm, Inc. | Neurological Surgery | 23961 Calle De La Magdalena, Suite 504, Laguna Hills, CA 92653-3616 | 2014-04-21 |
1730517780 | Yanling Song | Nurse Practitioner | 23961 Calle De La Magdalena, Ste 333, Laguna Hills, CA 92653 | 2013-10-29 |
1063840734 | Robert G Feldman Inc | Nurse Practitioner | 23961 Calle De La Magdalena, Suite 333, Laguna Hills, CA 92653-3616 | 2013-10-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
Find all providers in zip 92653 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356814602 | Francke Oc Chiropractic Neurology Corp | Clinic/Center | 25301 Cabot Rd Ste 106, Laguna Hills, CA 92653-5511 | 2019-01-09 |
1245681915 | Acupuncture Herbal Healing Center, Inc | Clinic/Center | 25401 Cabot Rd Ste 109, Laguna Hills, CA 92653-5513 | 2016-06-23 |
1770626673 | Orange County Therapy Services | Clinic/Center | 23293 S Pointe Dr, Laguna Hills, CA 92653-1447 | 2007-02-14 |
1174927602 | Laguna Hills Refractive LLC | Clinic/Center | 24401 Calle De La Louisa, Ste 300, Laguna Hills, CA 92653-3623 | 2014-10-13 |
1861600512 | Laser Eye Care of California, LLC | Clinic/Center | 24022 Calle De La Plata, Ste. 300, Laguna Hills, CA 92653-3626 | 2007-05-18 |
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1467053272 | West Sacramento Primary Care Inc. | Clinic/Center | 2455 Jefferson Blvd Ste 100, West Sacramento, CA 95691-5329 | 2020-11-06 |
1306447941 | Bedford Breast Surgeons | Clinic/Center | 436 North Bedford Drive, Suite 105, Beverly Hills, CA 90210-4323 | 2020-11-02 |
1538767082 | County of Los Angeles | Clinic/Center | 6902 Atlantic Ave, Bell, CA 90201-3647 | 2020-10-15 |
1225636855 | Optimum Wellness and Weight Loss | Clinic/Center | 910 S El Camino Real Ste 100, San Clemente, CA 92672-4279 | 2020-10-15 |
1932707700 | Body By Design Wellness and Massage Clinic, Inc. | Clinic/Center | 3625 E Thousand Oaks Blvd Ste 215216, Westlake Village, CA 91362-3626 | 2020-10-14 |
1639786189 | Rams Ppe | Clinic/Center | 15329 Bonanza Rd Ste D, Victorville, CA 92392-2457 | 2020-09-29 |
1720695729 | Vila Facial Plastic Surgery | Clinic/Center | 1000 S Eliseo Dr Ste 203, Greenbrae, CA 94904-2151 | 2020-09-24 |
1902410442 | Hope Elementary School District | Clinic/Center | 3970 La Colina Rd Ste 14, Santa Barbara, CA 93110-1596 | 2020-09-02 |
1558974097 | Jiseki Health Inc | Clinic/Center | 1150 S King Rd Ste 40, San Jose, CA 95122-2140 | 2020-08-25 |
1902417678 | I-ma Acupuncture Inc | Clinic/Center | 2485 High School Ave Ste 123, Concord, CA 94520-1812 | 2020-08-14 |
Find all providers with the same taxonomy |
City | LAGUNA HILLS |
Zip Code | 92653 |
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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.