Drummond Medical Group

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

DRUMMOND MEDICAL GROUP

Practice address

1111 N. China Lake Blvd
Ridgecrest, CA 93555-3131

Phone

(760) 446-8100

Fax

(760) 446-8181

NPI assigned

Sep 13, 2005

Organization subpart

No

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

Authorized official

Name

Dr. D Roberts, M.D.

Title

Medical Director

Phone

(760) 446-8201

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Indian Wells Valley Surgery Center Doing business as

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1831184191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N. CHINA LAKE BLVD",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553131",
            "telephone_number": "760-446-8100",
            "fax_number": "760-446-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N. CHINA LAKE BLVD",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553131",
            "telephone_number": "760-446-8100",
            "fax_number": "760-446-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUMMOND MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "D",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "760-446-8201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "120000489",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR01373F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS CERTIFICATION NUMBER",
            "identifier": "05-C0001373",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indian Wells Valley Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglas E Roberts Jr MD a Professional Corporation
• Bradley G Douglas, PHARM.D.
• Susan Rene Doyel-Franklin, RADT1
• Dr. Dianne Schindler Audiologist
• Dr. Joseph Mallory'S Office
• Drummond Medical Group, Inc
• Hailey Marie Dugan
• Maurice Dusol Jr., M.D.
• Andrew David Lee Dye
• Karisma Ederlyn Agustin Ebora

• Ambulatory Surgical Clinic/Center in Ridgecrest, CA
• Providers in Ridgecrest, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.