BRENT RIDDER, MD,INC.


Address: 23961 Calle De La Magdalena, #115, Laguna Hills, CA 92653-3616
Phone: 9492064633

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center CA Ambulatory Health Care Facilities

Office Location

Street Address 23961 CALLE DE LA MAGDALENA
#115
City LAGUNA HILLS
State CA
Zip Code 92653-3616

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

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).

Providers in the same taxonomy and city

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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NPI Name Taxonomy Address Enumeration
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
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Competitor

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City LAGUNA HILLS
Zip Code 92653

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Dataset Information

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.

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