Active NPI
Mountain Ridge Associates
- Obstetrics & Gynecology Physician
- Calabasas, CA
National Provider Identifier
1164716247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- G35414
- Legal business name
- MOUNTAIN RIDGE ASSOCIATES
- Practice address
- 23679 Calabasas Rd
Suite 415
Calabasas, CA 91302-1502 - Phone
- (310) 795-4488
- NPI assigned
- Jun 6, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adam Adair
- Title
- Administrator
- Phone
- (310) 795-4488
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | G35414 | CA | Primary |
Addresses
Primary practice location
23679 Calabasas Rd
Suite 415
Calabasas, CA 91302-1502
Mailing address
23679 Calabasas Rd
Suite 415
Calabasas, CA 91302-1502
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1307318400000",
"number": "1164716247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23679 CALABASAS RD",
"address_2": "SUITE 415",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913021502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23679 CALABASAS RD",
"address_2": "SUITE 415",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913021502",
"telephone_number": "310-795-4488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN RIDGE ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-06",
"last_updated": "2011-06-06",
"status": "A",
"authorized_official_last_name": "ADAIR",
"authorized_official_first_name": "ADAM",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "310-795-4488"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "G35414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Calabasas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.