Active NPI
Austin Leon Ridgway Jr., MD
- Pediatrics Physician
- Fort Irwin, CA
National Provider Identifier
1619608221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 36078
- Practice address
- 390 North Loop Rd.
Fort Irwin, CA 92310 - Phone
- (760) 383-5289
- NPI assigned
- Jun 23, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 36078 | NE | Primary |
| Military Health Care Provider | 171000000X |
Addresses
Primary practice location
390 North Loop Rd.
Fort Irwin, CA 92310
Mailing address
390 North Loop Road
Fort Irwin, CA 92310
Phone (760) 383-5289
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://health.mil/Military-Health-Topics/MHS-Transformation/MHS-GENESIS | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36078 | NE | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1619608221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 NORTH LOOP ROAD",
"city": "FORT IRWIN",
"state": "CA",
"postal_code": "92310",
"telephone_number": "760-383-5289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 NORTH LOOP RD.",
"city": "FORT IRWIN",
"state": "CA",
"postal_code": "92310",
"telephone_number": "760-383-5289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDGWAY",
"first_name": "AUSTIN",
"middle_name": "LEON",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-23",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NE",
"license": "36078",
"primary": true
},
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://health.mil/Military-Health-Topics/MHS-Transformation/MHS-GENESIS",
"affiliation": "N",
"endpointDescription": "Electronic Medical Records MHS Genesis",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "Tripler Army Medical Center",
"address_2": "1 Jarrett White Road",
"city": "Tripler AMC",
"state": "HI",
"country_code": "US",
"postal_code": "968595000",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fort Irwin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.