Individual provider Active NPI

Lucille Ridgill, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Rancho Palos Verdes, CA
National Provider Identifier
1306862701
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
G45977 Issued in CA
Practice address
28729 Atford Dr
Rancho Palos Verdes, CA 90275-6515
Phone
(310) 218-8816
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G45977 CA
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X G45977 CA Primary

Addresses

Primary practice location

28729 Atford Dr
Rancho Palos Verdes, CA 90275-6515

Mailing address

28729 Atford Dr
Rancho Palos Verdes, CA 90275-6515
Phone (310) 218-8816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050721001027 CA Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 1557398435 Practice locations: Rancho Palos Verdes, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45977CAMDPharmacist
G45977CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ladera Medical Practice Inc Internal Medicine PastSince Feb 28, 2009 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1306862701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28729 ATFORD DR",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902756515",
            "telephone_number": "310-218-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28729 ATFORD DR",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902756515",
            "telephone_number": "310-218-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDGILL",
        "first_name": "LUCILLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G45977",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "G45977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Palos Verdes, CA

Sources for this page

Verify at the official NPI Registry.