Owens Peak Medical Clinic Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A40869 Issued in CA

Legal business name

OWENS PEAK MEDICAL CLINIC INC

Practice address

1131 N China Lake Blvd
Ridgecrest, CA 93555-3131

Phone

(760) 375-0100

Fax

(760) 375-0110

NPI assigned

Feb 8, 2006

Last updated

Feb 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Francina Van Dongen

Title

Cfo

Phone

(760) 375-0100

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Sadhana Panduranga Kamath, M.D.

  • Internal Medicine Physician
  • Palmdale, CA
  • NPI 1316996002
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1306819768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935560099",
            "telephone_number": "760-375-0100",
            "fax_number": "760-375-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 N CHINA LAKE BLVD",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553131",
            "telephone_number": "760-375-0100",
            "fax_number": "760-375-0110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 N Downs St",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Ridgecrest",
            "state": "CA",
            "postal_code": "935553386",
            "country_code": "US",
            "telephone_number": "760-375-0100",
            "fax_number": "760-375-0110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OWENS PEAK MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "VAN DONGEN",
        "authorized_official_first_name": "FRANCINA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "760-375-0100"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A40869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A40869",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omni Family Health
• Omni Family Health
• Orange Coast Radiology Medical Group Inc
• Patience Marie Osborn
• Beth Osweiler, PA-C
• Rachel E Palmquist
• Vincent Robert Parisi, CASE MANAGER
• Mary T. Parkhurst, LVN
• Ashley Lynn Pascarella
• Gloria Patin

• Internal Medicine Physician in Ridgecrest, CA
• Providers in Ridgecrest, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.