Organization Active NPI

Desert Oasis Clinic

  • Primary Care Clinic/Center
  • Ridgecrest, CA
National Provider Identifier
1386813004
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A63404 Issued in CA
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
11631144OtherCAQH
7098137MedicaidCA
1122817OtherFIRST HEALTH NETWORK
G63714OtherUPIN
00A634040OtherBLUE SHIELD
5474655OtherAETNA
611724900OtherUS DEPT OF LABOR
P00340424OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.