Active NPI
Candace Haugen
- Phlebology Physician
- Ridgecrest, CA
National Provider Identifier
1902747769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- License
- CPA-02245259
- Practice address
- 824 W Graaf Ave
Ridgecrest, CA 93555-2415 - Phone
- (844) 784-5646
- NPI assigned
- Apr 3, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | CPA-02245259 | CA | Primary |
Addresses
Primary practice location
824 W Graaf Ave
Ridgecrest, CA 93555-2415
Mailing address
824 W Graaf Ave
Ridgecrest, CA 93555-2415
Phone (844) 784-5646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPA-02245259 | CA | MD | Phlebology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775174400000",
"number": "1902747769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 W GRAAF AVE",
"city": "RIDGECREST",
"state": "CA",
"postal_code": "935552415",
"telephone_number": "844-784-5646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 W GRAAF AVE",
"city": "RIDGECREST",
"state": "CA",
"postal_code": "935552415",
"telephone_number": "844-784-5646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUGEN",
"first_name": "CANDACE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-03",
"last_updated": "2026-04-03",
"certification_date": "2026-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Phlebology",
"state": "CA",
"license": "CPA-02245259",
"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 Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.