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BRANCH MEDICAL CLINIC CHINA LAKE
NPI 1023212677
Clinic/Center - Military/U.S. Coast Guard Outpatient in Ridgecrest, CA

Active since June 14, 2007
1 ADMINISTRATION CIR, RIDGECREST, CA 93555(760) 830-2498(760) 830-2182 Get Directions Write a Review

NPPES record last updated: October 16, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Branch Medical Clinic China Lake NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANCH MEDICAL CLINIC CHINA LAKE (NPI 1023212677) is a healthcare organization registered as a military/u.s. coast guard outpatient in Ridgecrest, California and active in the NPI registry since June 2007. The organization lists William M Condon, Bumed Ubo, as its authorized official.

NPPES Registry Identity

NPI1023212677
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business NameBRANCH MEDICAL CLINIC CHINA LAKE
Location Address1 ADMINISTRATION CIRRidgecrest, CA 93555-6104
Mailing Address1 Administration CirRidgecrest, CA 93555-6104 · (760) 830-2498 · Fax (760) 830-2182
Phone(760) 830-2498
Fax(760) 830-2182
Organization SubpartYesParent: Naval Hospital Twentynine Palms
Authorized OfficialWilliam M CondonBumed Ubo · (240) 401-3643
Enumeration DateJune 14, 2007
Last NPPES UpdateOctober 16, 2017
✔ NPI 1023212677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Military/U.S. Coast Guard OutpatientAmbulatory Health Care Facilities
Taxonomy Code261QM1100X
Definition
The Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
1 ADMINISTRATION CIR, Ridgecrest, CA 93555
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Other Identifiers 3

OtherNOT REQUIREDCA · Mailhandlers Benefit Plan
Medicare ID-Type Unspecified05-129FCA · Civilian Humanitarian
Other5662CA · Blue Cross Blue Shield

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM P MARTIN JR. PHARMD
Pharmacist
1 ADMINISTRATION CIR
RIDGECREST, CA 93555
Kern County (760) 939-8030
EMILY MARLOW FNP
Nurse Practitioner (Family)
1 ADMINISTRATION CIR
RIDGECREST, CA 93555
Kern County (760) 939-8030
DR. TAYLOR DANNI IBRAHIM DO
General Practice
1 ADMINISTRATION CIR
RIDGECREST, CA 93555
Kern County (760) 939-8030
DR. JOHN DE GEUS M.D.
Family Medicine
1 ADMINISTRATION CIR, BLD 1403
RIDGECREST, CA 93555
Kern County (760) 939-8000
DR. MICHAEL G BORCHIK DDS
Dentist
1 ADMINISTRATION CIR
RIDGECREST, CA 93555
Kern County (760) 939-8030
CHRISTIAN STEVEN WOODIE PA-C
Physician Assistant
1 ADMINISTRATION CIR
RIDGECREST, CA 93555
Kern County (760) 939-8030
DR. ADELEKE MOWOBI DMD
Dentist (General Practice)
1 ADMINISTRATION CIR
RIDGECREST, CA 93555
Kern County (760) 939-8030
NAVAL HOSPITAL TWENTYNINE PALMS
Military/U.S. Coast Guard Pharmacy
1 ADMINISTRATION CIR, STOP 1311 BLDG 1403
RIDGECREST, CA 93555
Kern County (760) 939-8001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Branch Medical Clinic China Lake's NPI number?

The NPI number for Branch Medical Clinic China Lake is 1023212677. It was assigned to this organization in the NPPES registry on June 14, 2007.

Where is Branch Medical Clinic China Lake located?

Branch Medical Clinic China Lake is located at 1 Administration Cir, Ridgecrest, CA 93555. The listed phone number is (760) 830-2498.

What is Branch Medical Clinic China Lake's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient, with taxonomy code 261QM1100X.

When was this NPI record last updated?

The NPPES record for Branch Medical Clinic China Lake was last updated on October 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.