RIDGECREST REGIONAL HOSPITAL (NPI# 1225363468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225363468 |
| Entity Type | Organization |
| Organization Name | RIDGECREST REGIONAL HOSPITAL |
| Practice Address |
1653 Triangle Dr Ste 200 Ridgecrest CA 93555-2614 |
| Mailing Address |
1081 N China Lake Blvd Ridgecrest CA 93555-3130 |
| Practice Telephone | 7604993617 |
| Practice Fax Number | 7604993614 |
| Mailing Telephone | 7604463551 |
| Mailing Fax Number | 7604462254 |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2020-01-10 |
| Authorized Official Name | JAMES ASHLEY SUVER (CEO) |
| Authorized Official Telephone | 7604993900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HHA 70012F | 05 | |
| CA | ZZT30448F | 05 | |
| CA | NPI | 1427043157 | 01 |
| CA | NPI | 1447253125 | 01 |
| 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 |
| 1679038434 | Ridgecrest Regional Hospital | Clinic/Center | 105 E Sydnor Ave, Ridgecrest, CA 93555-5546 | 2019-02-06 |
| 1639448400 | Ridgecrest Regional Hospital | Clinic/Center | 1041 N. China Lake Blvd., Ridgecrest, CA 93555-3130 | 2011-12-22 |
| 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 |
1653 TRIANGLE DR STE 200 |
| City | RIDGECREST |
| State | CA |
| Zip Code | 93555-2614 |
| 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 | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
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| 1588265276 | Santa Rita Hospice Inc | Hospice Care, Community Based | 7311 Van Nuys Blvd Unit 22, Van Nuys, CA 91405-1999 | 2020-11-08 |
| 1477154169 | Prime Plus Hospice Inc | Hospice Care, Community Based | 7311 Van Nuys Blvd Unit 23, Van Nuys, CA 91405-1999 | 2020-11-08 |
| 1275134967 | Valley Hospice Care Inc | Hospice Care, Community Based | 7311 Van Nuys Blvd Unit 24, Van Nuys, CA 91405-1999 | 2020-11-08 |
| 1063013720 | Blessed Journey Hospice, LLC. | Hospice Care, Community Based | 9778 Katella Ave Ste 111, Anaheim, CA 92804-6446 | 2020-11-07 |
| 1093316739 | S and N Hospice | Hospice Care, Community Based | 2500 E Foothill Blvd Ste 512, Pasadena, CA 91107-7126 | 2020-11-07 |
| 1033710819 | Treasure Care Hospice,inc. | Hospice Care, Community Based | 4250 Pennyslvania Ave, Suite 203, La Crescenta, CA 91214 | 2020-11-06 |
| 1689275430 | Pro-choice Hospice, Inc. | Hospice Care, Community Based | 19634 Ventura Blvd Ste 302, Tarzana, CA 91356-2966 | 2020-11-06 |
| 1689275588 | Integrated Hospice Care Inc | Hospice Care, Community Based | 6354 Van Nuys Blvd Ste 102, Van Nuys, CA 91401-2601 | 2020-11-06 |
| Find all providers with the same taxonomy | ||||
| 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.