Active NPI
Christian Steven Woodie, PA-C
- Physician Assistant
- Ridgecrest, CA
National Provider Identifier
1639056112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA67349
- Practice address
- 1 Administration Cir
Ridgecrest, CA 93555-6104 - Phone
- (760) 939-8030
- NPI assigned
- Aug 18, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA67349 | CA | Primary |
Addresses
Primary practice location
1 Administration Cir
Ridgecrest, CA 93555-6104
Mailing address
1 Administration Cir
Ridgecrest, CA 93555-6104
Phone (760) 932-8030
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA67349 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766448000000",
"number": "1639056112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ADMINISTRATION CIR",
"city": "RIDGECREST",
"state": "CA",
"postal_code": "935556104",
"telephone_number": "760-932-8030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ADMINISTRATION CIR",
"city": "RIDGECREST",
"state": "CA",
"postal_code": "935556104",
"telephone_number": "760-939-8030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODIE",
"first_name": "CHRISTIAN",
"middle_name": "STEVEN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-18",
"last_updated": "2025-12-23",
"certification_date": "2025-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA67349",
"primary": true
}
],
"identifiers": [],
"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 Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.