NPIMap

Organization Active NPI

Ridgecrest Regional Hospital

  • Critical Access Hospital
  • Ridgecrest, CA
National Provider Identifier
1447253125
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
550002085 Issued in CA
Legal business name
RIDGECREST REGIONAL HOSPITAL
Practice address
1081 N China Lake Blvd
Ridgecrest, CA 93555-3130
Phone
(760) 446-3551
Fax
(760) 499-3014
NPI assigned
May 24, 2005
Last updated
Oct 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Authorized official

Name
James Suver
Title
Ceo
Phone
(760) 499-3902

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU
Critical Access Hospital 282NC0060X 550002085 CA Primary

Addresses

Primary practice location

1081 N China Lake Blvd
Ridgecrest, CA 93555-3130

Mailing address

1081 N China Lake Blvd
Ridgecrest, CA 93555-3130
Phone (760) 446-3551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20060929000159 CA Part B Supplier - Clinic/Group Practice 9739099896 Receives reassigned benefits from 153 practitioners
1 other NPI on this enrollment
Practice locations: Ridgecrest, CA
O20090819000292 CA Part A Provider - Rural Health Clinic 9739099896 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ridgecrest, CA
O20130222000145 CA Part A Provider - Critical Access Hospital 9739099896 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Ridgecrest, CA
O20140411000008 CA Part A Provider - Critical Access Hospital 9739099896 Practice locations: Ridgecrest, CA

NPI to CCN mapping 4

The Medicare certification numbers (CCNs) connected to NPI 1447253125. Details of each certification follow.

Rural health clinic certification: CCN 058655

Legal name
RIDGECREST REGIONAL HOSPITAL
Doing business as
RIDGECREST REGIONAL HOSPITAL RURAL HEALTH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 25, 2010
Last certification
May 22, 2018
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Oct 24, 1962 in CA
Enrollment address
1111 N China Lake Blvd
Ste 190
Ridgecrest, CA 93555-3131
Related CCNs
051333

Hospital certification: CCN 051333

Legal name
RIDGECREST REGIONAL HOSPITAL
Doing business as
RIDGECREST REGIONAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Aug 8, 2012
Last certification
Feb 17, 2022
Beds
72 (25 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Oct 24, 1962 in CA
Enrollment address
1081 N China Lake Blvd
Ridgecrest, CA 93555-3130
Other Hospital Practice Location

Hospital certification: CCN 05Z333

Legal name
RIDGECREST REGIONAL HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Oct 24, 1962 in CA
Enrollment address
1081 N China Lake Blvd
Ridgecrest, CA 93555-3130
Main/Primary Hospital Location

Hospital certification: CCN 050448

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
RIDGECREST REGIONAL HOSPITAL
Certification status
Terminated Other: provider status change, Aug 7, 2012
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jun 26, 2009
Beds
98 (25 certified)
Ownership / control type
Private (not for profit)
Facility address
1081 North China Lake Blvd
Ridgecrest, CA 93555

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Ridgecrest Regional HospitalCCN 051333 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

105 E Sydnor Ave
Ste 100
Ridgecrest, CA 93555
Phone (760) 446-6404

Interoperability endpoints

  • Direct secure messaging: aadeshsachdeva@rrh.medalliesdirect.net
  • Direct secure messaging: ajaypatel@rrh.medalliesdirect.net
  • Direct secure messaging: alejandrasuzuki@rrh.medalliesdirect.net
  • Direct secure messaging: alilashgari@rrh.medalliesdirect.net
  • Direct secure messaging: amartejmerla@rrh.medalliesdirect.net
  • Direct secure messaging: andreberger@rrh.medalliesdirect.net
  • Direct secure messaging: anneschuckman@rrh.medalliesdirect.net
  • Direct secure messaging: arshiaghaffari@rrh.medalliesdirect.net
  • Direct secure messaging: atulmunjal@rrh.medalliesdirect.net
  • Direct secure messaging: billieguerra@rrh.medalliesdirect.net
  • Direct secure messaging: carmenbriones@rrh.medalliesdirect.net
  • Direct secure messaging: carolcastro@rrh.medalliesdirect.net
  • Direct secure messaging: carolynlyon@rrh.medalliesdirect.net
  • Direct secure messaging: ceciliaiacoviello@rrh.medalliesdirect.net
  • Direct secure messaging: chelseatrask@rrh.medalliesdirect.net
  • Direct secure messaging: chidiukatu@rrh.medalliesdirect.net
  • Direct secure messaging: christianschwartz@rrh.medalliesdirect.net
  • Direct secure messaging: danapan@rrh.medalliesdirect.net
  • Direct secure messaging: danielpark@rrh.medalliesdirect.net
  • Direct secure messaging: datnguyen@rrh.medalliesdirect.net

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Christopher Ellis Individual Corporate DirectorBoard Member May 1, 2021
Corporate DirectorBoard Chairman May 1, 2021
Corporate DirectorChairman of the Board May 1, 2021
Judith Tharp Individual Corporate DirectorBoard Member May 20, 2022
Corporate DirectorDirector May 20, 2022
Dana Lyons Individual Corporate DirectorBoard Member May 1, 2018
James a Suver Individual Corporate OfficerCeo Feb 17, 2009
Operational/Managerial ControlCeo Feb 17, 2009 100%
Corporate OfficerCeo Feb 17, 2009 100%
James Rizzardini Individual Corporate DirectorBoard Member May 1, 2019
Shrooq Abu-Issa Individual Corporate DirectorBoard Member May 1, 2021
Anita L Read Individual Corporate DirectorBoard Member May 1, 2017
Margaret M Hannon Individual Corporate DirectorBoard Member May 1, 2017
George Haslam Individual Corporate DirectorChairman of the Board May 1, 2016
Corporate DirectorBoard Member May 1, 2016
Martha Hoppus Individual Corporate DirectorBoard Member May 20, 2022
Corporate DirectorBoard Member May 1, 2022
Paige Sorbo Individual Corporate DirectorBoard Member May 1, 2017
Adan Martinez Gonzalez Individual Operational/Managerial ControlOperations Manager Apr 19, 2019
Patricia L Mullis Individual Corporate DirectorBoard Member May 20, 2025
Lawrence N Cosner Individual Corporate DirectorBoard Member May 1, 2023
Sarah Dosen Individual Corporate DirectorBoard Member May 20, 2025
Ridgecrest Regional Hospital Organization, Ridgecrest, CA Non-profit 5% Or Greater Direct Ownership Interest Sep 11, 2012 100%
Kimberly a Lock Individual W-2 Managing EmployeeProvider Enrollment Manager Dec 2, 2015

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ridgecrest Obstetrics ClinicRidgecrest, CA, CCN 058699 Rural health clinic Operational/Managerial Control (100%) Sep 17, 2016
RRH Mobile Health ClinicRidgecrest, CA, CCN 058709 Rural health clinic Operational/Managerial Control (100%) Sep 29, 2016
Southern Sierra Medical ClinicRidgecrest, CA, CCN 058712 Rural health clinic Operational/Managerial Control (100%) Jun 1, 2019
China Lake Community Health ClinicRidgecrest, CA, CCN 058726 Rural health clinic Operational/Managerial Control (100%) Jun 1, 2020

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 223

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.

View all 223

Affiliated clinicians 265

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 265

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1447253125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 N CHINA LAKE BLVD",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553130",
            "telephone_number": "760-446-3551",
            "fax_number": "760-499-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 N CHINA LAKE BLVD",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553130",
            "telephone_number": "760-446-3551",
            "fax_number": "760-499-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGECREST REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "SUVER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-499-3902"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "CA",
            "license": "550002085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgecrest, CA

Sources for this page

Verify at the official NPI Registry.