Unknown Individual – Surgery Physician, NPI 1356430375
Surgery Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Ridgecrest Regional Hospital, 1081, North China Lake Boulevard, Ridgecrest, Kern County, California, 93555, United States
RIDGECREST, CA 935553130
Phone: (760) 446-0121
Fax: (760) 446-0734
Type: Mailing
Southern Sierra Medical Clinic, 1041, North China Lake Boulevard, Ridgecrest, Kern County, California, 93555, United States of America
RIDGECREST, CA 935553183
Phone: (760) 446-0121
Fax: (760) 446-0734
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 93555)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Nurse Practitioner | CA | |
| - | WV | |
| Internal Medicine | CA | |
| Certified Registered Nurse Anesthetist (Crna) | NM | |
| - | CA | |
| - | CA | |
| - | CA | |
| Nurse Practitioner | CA | |
| - | CA |
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