NPIMap

Organization Active NPI

Ridgecrest Regional Hospital

Doing business as Ridgecrest Obstetrics

  • Rural Health Clinic/Center
  • Ridgecrest, CA
National Provider Identifier
1730544313
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
RIDGECREST REGIONAL HOSPITAL
Doing business as
Ridgecrest Obstetrics
Rural Health Clinic South
Practice address
1011 N China Lake Blvd
Ridgecrest, CA 93555-3130
Phone
(760) 499-3640
Fax
(760) 499-7229
NPI assigned
Dec 23, 2015
Last updated
Sep 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
James Ashley Suver
Title
Ceo/President
Phone
(760) 499-3899

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Multi-Specialty Clinic/Center 261QM1300X
Rural Health Clinic/Center 261QR1300X Primary
Rural Acute Care Hospital 282NR1301X

Addresses

Primary practice location

1011 N China Lake Blvd
Ridgecrest, CA 93555-3130

Mailing address

1081 N China Lake Blvd
Ridgecrest, CA 93555-3130
Phone (760) 499-3640

Other identifiers 1

IdentifierTypeStateIssuer
120000186OtherCASTATE LICENSE

Other names 2

  • Ridgecrest Obstetrics Doing business as
  • Rural Health Clinic South Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161028001420 CA Part A Provider - Rural Health Clinic 9739099896 Practice locations: Ridgecrest, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730544313. Details of each certification follow.

Rural health clinic certification: CCN 058699

Legal name
RIDGECREST REGIONAL HOSPITAL
Doing business as
RIDGECREST OBSTETRICS CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 9, 2018
Last certification
Jan 18, 2021
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Oct 24, 1962 in CA
Enrollment address
1011 N China Lake Blvd
Ridgecrest, CA 93555-3130
Related CCNs
051333

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 8

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

National Provider Directory

National Provider Directory
Tax ID family
Ridgecrest Comm HSP Eme11 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

1011 N China Lake Blvd
Ste A
Ridgecrest, CA 93555
Phone (760) 499-7222

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 of Directors - Director Sep 17, 2016
Judith Tharp Individual Corporate DirectorBoard Member May 1, 2022
Dana Lyons Individual Corporate DirectorBoard of Directors - Director Sep 17, 2016
James a Suver Individual Corporate OfficerCeo Feb 17, 2009 100%
Operational/Managerial ControlCeo Feb 17, 2009 100%
Lawrence N Cosner Individual Corporate DirectorBoard Member May 1, 2023
James Rizzardini Individual Corporate DirectorBoard Member May 1, 2019
Shrooq Abu-Issa Individual Corporate DirectorBoard Member May 1, 2021
Anita L Read Individual Corporate DirectorBoard Member May 1, 2017
Margaret M Hannon Individual Corporate DirectorBoard Member May 1, 2017
George Haslam Individual Corporate DirectorBoard of Directors - Director Sep 17, 2016
Martha Hoppus Individual Corporate DirectorBoard Member May 1, 2022
Paige Sorbo Individual Corporate DirectorBoard Member May 1, 2017
Ridgecrest Regional Hospital Organization, Ridgecrest, CA Corporation, For-profit Operational/Managerial Control Sep 17, 2016 100%

Owners & managing parties with NPI records 9

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

All facility ownership & control disclosures 4

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
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 4

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

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1730544313",
    "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": "760-499-3640",
            "fax_number": "760-499-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N CHINA LAKE BLVD",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553130",
            "telephone_number": "760-499-3640",
            "fax_number": "760-499-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGECREST REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-23",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "SUVER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "760-499-3899"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "120000186",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridgecrest Obstetrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rural Health Clinic South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgecrest, CA

Sources for this page

Verify at the official NPI Registry.