Active NPI
Desert Oasis Clinic
- Primary Care Clinic/Center
- Ridgecrest, CA
National Provider Identifier
1386813004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- A63404
- Legal business name
- DESERT OASIS CLINIC
- Practice address
- 1041 N China Lake Blvd Ste a
Ridgecrest, CA 93555-3169 - Phone
- (760) 446-2984
- Fax
- (760) 446-2987
- NPI assigned
- Feb 27, 2008
- Last updated
- Mar 7, 2023
- 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
- Dr. Pedro L Farinha, M.D.
- Title
- President
- Phone
- (760) 446-2984
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | A63404 | CA | Primary |
Addresses
Primary practice location
1041 N China Lake Blvd Ste a
Ridgecrest, CA 93555-3169
Mailing address
1041 N China Lake Blvd Ste a
Ridgecrest, CA 93555-3169
Phone (760) 446-2984
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11631144 | Other | CAQH | |
| 7098137 | Medicaid | CA | |
| 1122817 | Other | FIRST HEALTH NETWORK | |
| G63714 | Other | UPIN | |
| 00A634040 | Other | BLUE SHIELD | |
| 5474655 | Other | AETNA | |
| 611724900 | Other | US DEPT OF LABOR | |
| P00340424 | Other | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1386813004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1041 N CHINA LAKE BLVD STE A",
"city": "RIDGECREST",
"state": "CA",
"postal_code": "935553169",
"telephone_number": "760-446-2984",
"fax_number": "760-446-2987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1041 N CHINA LAKE BLVD STE A",
"city": "RIDGECREST",
"state": "CA",
"postal_code": "935553169",
"telephone_number": "760-446-2984",
"fax_number": "760-446-2987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESERT OASIS CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-27",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "FARINHA",
"authorized_official_first_name": "PEDRO",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "760-446-2984",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "CA",
"license": "A63404",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11631144",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7098137",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH NETWORK",
"identifier": "1122817",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "G63714",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00A634040",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5474655",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "611724900",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00340424",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ridgecrest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.