DR. NEAL PATRICK RIDGE D.O.
NPI 1053381004
Family Medicine in Coronado, CA
About Dr. Neal Patrick Ridge D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NEAL PATRICK RIDGE D.O. (NPI 1053381004) is an individual family medicine provider in Coronado, California, licensed in California (20A6920) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Altus Afb, and is a graduate of College Of Osteo Med Of The Pacific At Pomona (1995).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Neal Patrick Ridge D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Neal Ridge reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Coronado, CA 92118
- Reassigned Medicare billing, California enrollment
- 3 clinicians in this Medicare group
San Diego, CA 92102
- Reassigned Medicare billing, California enrollment
- 577 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CORONADO, CA 92118
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 Neal Ridge's NPI number?
The NPI number for Neal Ridge is 1053381004. It was assigned to this individual provider in the NPPES registry on January 24, 2006.
Where is Neal Ridge located?
Neal Ridge practices at 230 Prospect Pl Ste 340B, Coronado, CA 92118. The listed phone number is (619) 522-4000.
What is Neal Ridge's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Neal Ridge enrolled in Medicare?
Yes. Neal Ridge is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Neal Ridge's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Neal Ridge reassigns Medicare benefits to 2 organizations: Dr Kim Byers-Lund (Coronado, CA) and Centro De Salud De La Comunidad De San Ysidro,inc (San Diego, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Neal Ridge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Neal Ridge was last updated on February 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Neal Patrick Ridge, D.O. · NPI 1053381004
Family Medicine physician in Coronado, California. Individual provider, active in the CMS NPPES registry since January 24, 2006.
## Identity
- **NPI:** 1053381004 (Entity type: Individual)
- **Enumerated:** January 24, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 20A6920 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 230 PROSPECT PL STE 340B, Coronado, CA 92118-1991
- **Phone:** (619) 522-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Dr Kim Byers-Lund (NPI 1972116382, Coronado, CA); Centro De Salud De La Comunidad De San Ysidro,inc (NPI 1598308926, San Diego, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** College Of Osteo Med Of The Pacific At Pomona, class of 1995
## Record status
- **NPPES last updated:** February 17, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1053381004) · Data from the CMS NPPES public registry.