The Ridgecrest Medical Group PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

THE RIDGECREST MEDICAL GROUP PC

Practice address

12235 La Maida St
Valley Village, CA 91607

Phone

(323) 229-4217

NPI assigned

Apr 30, 2026

Organization subpart

No

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

Authorized official

Name

Michael Wensley, MD

Title

Owner

Phone

(949) 705-8226

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1777507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1295672913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 1/2 CRYSTAL AVE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926621380",
            "telephone_number": "949-610-5240",
            "fax_number": "949-610-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12235 LA MAIDA ST",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "91607",
            "telephone_number": "323-229-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RIDGECREST MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-30",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-25",
        "status": "A",
        "authorized_official_last_name": "WENSLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-705-8226",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Valley Village, CA
• Providers in Valley Village, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.