Active NPI
Ridgecrest Women'S Medical Practice
- Medical Specialty Clinic/Center
- Ridgecrest, CA
National Provider Identifier
1710200464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- A109246
- Legal business name
- RIDGECREST WOMEN'S MEDICAL PRACTICE
- Practice address
- 1041 N China Lake Blvd
Suite C
Ridgecrest, CA 93555-3168 - Phone
- (760) 446-3074
- NPI assigned
- Mar 9, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Nguyen, M.D.
- Title
- President
- Phone
- (760) 446-3074
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | A109246 | CA | Primary |
Addresses
Primary practice location
1041 N China Lake Blvd
Suite C
Ridgecrest, CA 93555-3168
Mailing address
1041 N China Lake Blvd
Suite C
Ridgecrest, CA 93555-3168
Phone (760) 446-3074
National Provider Directory
National Provider DirectoryLocations
1041 N China Lake Blvd
Ste C
Ridgecrest, CA 93555
Phone (760) 446-3074
1041 N China Lake Blvd
Ste A
Ridgecrest, CA 93555
Phone (760) 446-2984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268092800000",
"number": "1710200464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1041 N CHINA LAKE BLVD",
"address_2": "SUITE C",
"city": "RIDGECREST",
"state": "CA",
"postal_code": "935553168",
"telephone_number": "760-446-3074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1041 N CHINA LAKE BLVD",
"address_2": "SUITE C",
"city": "RIDGECREST",
"state": "CA",
"postal_code": "935553168",
"telephone_number": "760-446-3074"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIDGECREST WOMEN'S MEDICAL PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-09",
"last_updated": "2010-03-09",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "760-446-3074",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "CA",
"license": "A109246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgecrest, CA
- Ridgecrest Regional Hospital
- Ridgecrest Regional Hospital
- Ridgecrest Regional Hospital
- Ridgecrest Specialty Surgery Center a Professional Corporation
- Ridgecrest Specialty Surgery Center, a Professional Corporation
- Annette Riley
- Christine Luise Ritchie, RN
- George Joseph Rivello, DPM
- Brianna Rene Rivera
- Socorro Cora Rivera
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.