NPIMap

Organization Active NPI

Ridgecrest Regional Hospital

Doing business as Tcru/Bella Sera

  • Skilled Nursing Facility
  • Ridgecrest, CA
National Provider Identifier
1669734653
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RIDGECREST REGIONAL HOSPITAL
Doing business as
Tcru/Bella Sera
Practice address
1131 N China Lake Blvd
Ridgecrest, CA 93555-3131
Phone
(760) 446-3591
Fax
(760) 446-2452
NPI assigned
Jun 14, 2012
Last updated
Sep 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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) 499-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1131 N China Lake Blvd
Ridgecrest, CA 93555-3131

Mailing address

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

Other practice location 1

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

Other names 1

  • TCRU/BELLA SERA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130425000504 CA Part A Provider - Skilled Nursing Facility 9739099896 Practice locations: Ridgecrest, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669734653. Details of each certification follow.

Skilled nursing facility certification: CCN 555877

Legal name
RIDGECREST REGIONAL HOSPITAL
Doing business as
RIDGECREST REGIONAL TRANSITIONAL CARE AND REHABILITATION UNIT
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 11, 2012
Last certification
Mar 6, 2025
Beds
124
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 24, 1962 in CA
Enrollment address
1081 N China Lake Blvd
Ridgecrest, CA 93555-3130
Nursing home name
RIDGECREST REGIONAL TRANSITIONAL CARE AND REHABILI

Other NPIs with the same Medicare PAC ID 8

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Ridgecrest Regional Transitional Care and RehabiliCCN 555877 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Sep 11, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12478.3 residents per day on average
Penalties (3 years)
2Fines totaling $27,716

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0725430Bella Sera1131 N China Lake Blvd, Ridgecrest, CA 93555Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Ridgecrest Regional Hos11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1131 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 375-0100

Ownership & related parties

All disclosed owners & managing parties 13

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
Judith Tharp Individual Corporate DirectorBoard Member May 1, 2022
Dana Lyons Individual Corporate Director May 1, 2018 5%
James a Suver Individual Corporate OfficerCeo-Authorized Official Feb 17, 2009 100%
Operational/Managerial ControlCeo Feb 17, 2009 100%
Lawrence N Cosner Individual Corporate DirectorBoard Member May 1, 2023
Kimberly a Lock Individual Operational/Managerial Control Dec 2, 2015
James Rizzardini Individual Corporate Director May 1, 2019 5%
Shrooq Abu-Issa Individual Corporate DirectorBoard Member May 1, 2021
Anita L Read Individual Corporate Director May 1, 2017 5%
Margaret M Hannon Individual Corporate Director May 1, 2017 5%
George Haslam Individual Corporate Director May 1, 2016 5%
Martha Hoppus Individual Corporate DirectorBoard Member May 1, 2022
Paige Sorbo Individual Corporate DirectorMD May 1, 2017 5%

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 5

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

FacilityTypeRoleSince
Ridgecrest Regional HospitalRidgecrest, CA, CCN 05Z333 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 11, 2012
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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1669734653",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 N CHINA LAKE BLVD",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553131",
            "telephone_number": "760-446-3591",
            "fax_number": "760-446-2452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1081 N China Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Ridgecrest",
            "state": "CA",
            "postal_code": "935553130",
            "country_code": "US",
            "telephone_number": "760-446-3551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RIDGECREST REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-14",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "SUVER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-499-3900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TCRU/BELLA SERA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgecrest, CA

Sources for this page

Verify at the official NPI Registry.