NPIMap

Organization Active NPI

Ridgecrest Regional Hospital

Doing business as Ridgecrest Regional Hospital Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Ridgecrest, CA
National Provider Identifier
1164067971
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
RIDGECREST REGIONAL HOSPITAL
Doing business as
Ridgecrest Regional Hospital Ambulatory Surgery Center
Practice address
1111 N China Lake Blvd Ste 220
Ridgecrest, CA 93555-3131
Phone
(760) 499-3900
Fax
(760) 446-2254
NPI assigned
Nov 15, 2019
Last updated
Nov 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James A Suver
Title
Ceo
Phone
(760) 499-3900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1111 N China Lake Blvd Ste 220
Ridgecrest, CA 93555-3131

Mailing address

1081 N China Lake Blvd
Ridgecrest, CA 93555-3130
Phone (760) 499-3900

Other names 1

  • Ridgecrest Regional Hospital Ambulatory Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220404002049 CA Part B Supplier - Ambulatory Surgical Center 9739099896 Receives reassigned benefits from 19 practitioners
Practice locations: Ridgecrest, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164067971. Details of each certification follow.

Ambulatory surgical center certification: CCN 55C0001149

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Ridgecrest Regional Hospital Ambulatory Surgery
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Jun 30, 2023
Last certification
May 23, 2023
Ownership / control type
Proprietary
Facility address
1111 N China Lake Blvd, Suite 220
Ridgecrest, CA 93555

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

105 E Sydnor Ave
Ste 100204
Ridgecrest, CA 93555
Phone (760) 446-6404

1111 N China Lake Blvd
#220
Ridgecrest, CA 93555
Phone (760) 446-8100

1653 Triangle Dr
#A
Ridgecrest, CA 93555
Phone (760) 499-3617

1653 Triangle Dr
#B
Ridgecrest, CA 93555
Phone (760) 499-3617

350 E Ridgecrest Blvd
Ste 107
Ridgecrest, CA 93555
Phone (760) 375-6531

409 W Drummond Ave
Ridgecrest, CA 93555
Phone (760) 371-2128

540 Perdew Ave
Ste Cd
Ridgecrest, CA 93555
Phone (760) 499-3630

82820 Trona Rd
Trona, CA 93562
Phone (760) 372-4524

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ridgecrest Regional HospitalRidgecrest, CA, CCN 05Z333 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 11, 2012
Ridgecrest Obstetrics ClinicRidgecrest, CA, CCN 058699 Rural health clinic Operational/Managerial Control (100%) Sep 17, 2016
RRH Mobile Health ClinicRidgecrest, CA, CCN 058709 Rural health clinic Operational/Managerial Control (100%) Sep 29, 2016
Southern Sierra Medical ClinicRidgecrest, CA, CCN 058712 Rural health clinic Operational/Managerial Control (100%) Jun 1, 2019
China Lake Community Health ClinicRidgecrest, CA, CCN 058726 Rural health clinic Operational/Managerial Control (100%) Jun 1, 2020

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 156

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 156

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1164067971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 N CHINA LAKE BLVD",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553130",
            "telephone_number": "760-499-3900",
            "fax_number": "760-446-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N CHINA LAKE BLVD STE 220",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553131",
            "telephone_number": "760-499-3900",
            "fax_number": "760-446-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGECREST REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-15",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "SUVER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-499-3900"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridgecrest Regional Hospital Ambulatory Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgecrest, CA

Sources for this page

Verify at the official NPI Registry.