Brent W Ridder (NPI# 1730120163, PAC ID# 9537123088) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1730120163 |
| PAC ID by PECOS | 9537123088 |
| Professional Enrollment ID | I20041115001337 |
| Full Name | Brent W Ridder |
| Organization Legal Name | SAND CANYON MEDICAL GROUP |
| Address |
15775 Laguna Canyon Rd Suite 100 Irvine CA 92618-3145 |
| Phone Number | 9494170272 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9436223781 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 15775 Laguna Canyon Rd, Suite 100, Irvine, CA 92618-3145 | 9494170272 | SAND CANYON MEDICAL GROUP |
| 23521 Paseo De Valencia, Suite 101, Laguna Hills, CA 92653-3126 | 9492064533 | SAND CANYON MEDICAL GROUP |
| Organization Legal Name | SAND CANYON MEDICAL GROUP |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas K Ryu | Emergency Medicine | Sand Canyon Medical Group | 15775 Laguna Canyon Rd, Suite 100, Irvine, CA 92618-3145 |
| Steven T Lin | Emergency Medicine | Sand Canyon Medical Group | 15775 Laguna Canyon Rd, Suite 100, Irvine, CA 92618-3145 |
| Street Address |
15775 LAGUNA CANYON RD SUITE 100 |
| City | IRVINE |
| State | CA |
| Zip | 92618-3145 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cyrus S Sedaghat | Pain Management | 15775 Laguna Canyon Rd, Suite 190, Irvine, CA 92618-7707 | |
| Satoshi S Kamada | Internal Medicine | 15775 Laguna Canyon Rd, Suite 280, Irvine, CA 92618-3191 | |
| Kwangyo Kang | Physical Therapy | Restorative Therapy Associates | 15775 Laguna Canyon Rd, Suite 110, Irvine, CA 92618-3192 |
| Thomas K Ryu | Emergency Medicine | Sand Canyon Medical Group | 15775 Laguna Canyon Rd, Suite 100, Irvine, CA 92618-3145 |
| Ardalan Babaknia | Gastroenterology | 15775 Laguna Canyon Rd, Suite 240, Irvine, CA 92618-3191 | |
| Sanam Amini | Occupational Therapy | Restorative Therapy Associates | 15775 Laguna Canyon Rd, Suite 110, Irvine, CA 92618-3192 |
| Derek Decicco | Physical Therapy | Restorative Therapy Associates | 15775 Laguna Canyon Rd, Suite 110, Irvine, CA 92618-3192 |
| Jahangir J Ahdoot | Internal Medicine | 15775 Laguna Canyon Rd, Suite 290, Irvine, CA 92618-3145 | |
| James Hunter | Physical Therapy | Restorative Therapy Associates | 15775 Laguna Canyon Rd, Suite 110, Irvine, CA 92618-3192 |
| Vicki Tuggy | Physical Therapy | Restorative Therapy Associates | 15775 Laguna Canyon Rd, Suite 110, Irvine, CA 92618-3192 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Y Chen | Diagnostic Radiology | Summit Radiology PC | 41 Modena, Irvine, CA 92618-0104 |
| Jim Yung Chun Chung | Chiropractic | 14785 Jeffrey Rd, Suite 102, Irvine, CA 92618-0409 | |
| Tzong-shin S Yang | Physical Therapy | Unicare Physical Therapy, Inc.. | 14785 Jeffrey Rd, Suite 108, Irvine, CA 92618-0410 |
| Jenn Tih Yang | Physical Therapy | Unicare Physical Therapy, Inc.. | 14785 Jeffrey Rd, Suite 108, Irvine, CA 92618-0410 |
| Roger Lee | Chiropractic | 14795 Jeffrey Rd, Suite 103, Irvine, CA 92618-0417 | |
| Nuha Krad | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 172 Gitano, Irvine, CA 92618-1115 |
| Kenneth A Cantos | Pathology | Newport Harbor Pathology Medical Group Inc | 20 Fairbanks, Suite 184, Irvine, CA 92618-1673 |
| Parkson J Lin | Podiatry | 2 Hughes, Suite 150, Irvine, CA 92618-2036 | |
| Brent Silvers | Internal Medicine | 2 Hughes, Suite 150, Irvine, CA 92618-2036 | |
| Martha E Wittenberg | Family Practice | Institute for Progressive Medicine A Professional Medical Corporation | 4 Hughes, Suite 175, Irvine, CA 92618-2045 |
| Find all physicians in zip 92618 | |||
| City | IRVINE |
| Zip Code | 92618 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | IRVINE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Brent W Ridder.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.