Individual provider Active NPI

Stephen Fine

  • Marriage & Family Therapist
  • Ridgecrest, CA
National Provider Identifier
1669504700
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC34932 Issued in CA
Practice address
350 E Ridgecrest Blvd
Ridgecrest, CA 93555-3928
Phone
(760) 446-3551
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC34932 CA Primary

Addresses

Primary practice location

350 E Ridgecrest Blvd
Ridgecrest, CA 93555-3928

Mailing address

22669 Mobile St
West Hills, CA 91307-3613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250410003226 CA Practitioner - Marriage and Family Therapist 8325562366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ridgecrest Regional HospitalGroup PAC ID 9739099896, 94 clinicians

Practice addresses (Care Compare)

1011 N China Lake Blvd
Ridgecrest, CA 93555-3130
Phone (760) 446-6404

1041 N China Lake Blvd
Ridgecrest, CA 93555-3168
Phone (760) 446-8692

105 E Sydnor Ave
Suite 100
Ridgecrest, CA 93555-5546
Phone (760) 446-6404

1081 N China Lake Blvd
Ridgecrest, CA 93555-3130
Phone (760) 499-3899

1111 N China Lake Blvd
Ridgecrest, CA 93555-3131
Phone (760) 499-3855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC34932CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Ambulance, Inc. CurrentSince Apr 30, 2023 Accepting new patients
Ridgecrest Regional Hospital CurrentSince Apr 1, 2025 Accepting new patients
Ridgecrest Regional Hospital CurrentSince Apr 1, 2025 Accepting new patients

Locations

350 E Ridgecrest Blvd
Ridgecrest, CA 93555
Phone (760) 375-6531

1111 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-4571

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

1041 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0121

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1669504700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22669 MOBILE ST",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913073613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E RIDGECREST BLVD",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553928",
            "telephone_number": "760-446-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINE",
        "first_name": "STEPHEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC34932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgecrest, CA

Sources for this page

Verify at the official NPI Registry.