Organization Active NPI

Ridgecrest Women'S Medical Practice

  • Medical Specialty Clinic/Center
  • Ridgecrest, CA
National Provider Identifier
1710200464
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
A109246 Issued in CA
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

Updated by the provider on Mar 9, 2010

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.