Organization Active NPI

Mountain Ridge Associates

  • Obstetrics & Gynecology Physician
  • Calabasas, CA
National Provider Identifier
1164716247
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G35414 Issued in CA
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

Updated by the provider on Jun 6, 2011

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.