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RIDGECREST REGIONAL HOSPITAL AMBULATORY SURGERY CENTER
NPI 1164067971
Clinic/Center - Ambulatory Surgical in Ridgecrest, CA

Active since November 15, 2019CLIA 05D0588246 · Accreditation
1111 N CHINA LAKE BLVD STE 220, RIDGECREST, CA 93555(760) 499-3900(760) 446-2254 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 21, 2023, Aug 24, 2022, Oct 4, 2021 and 2 more (5 updates tracked since 2019).

About Ridgecrest Regional Hospital Ambulatory Surgery Center NPPES

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

RIDGECREST REGIONAL HOSPITAL AMBULATORY SURGERY CENTER (NPI 1164067971) is a healthcare organization registered as an ambulatory surgical in Ridgecrest, California and active in the NPI registry since November 2019. The organization holds an CLIA Accreditation certificate valid through August 16, 2027 and lists James A Suver, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164067971
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameRIDGECREST REGIONAL HOSPITAL
Location Address1111 N CHINA LAKE BLVD STE 220Ridgecrest, CA 93555-3131
Mailing Address1081 N China Lake BlvdRidgecrest, CA 93555-3130 · (760) 499-3900 · Fax (760) 446-2254
Phone(760) 499-3900
Fax(760) 446-2254
Organization SubpartNo
Authorized OfficialJames A SuverCeo · (760) 499-3900
Enumeration DateNovember 15, 2019
Last NPPES UpdateNovember 21, 20235 updates tracked since enumeration
NPPES CertifiedNovember 21, 2023
✔ NPI 1164067971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedSurgeryTaxonomy 208600000X
1111 N CHINA LAKE BLVD STE 220, Ridgecrest, CA 93555
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Other Names 1

Doing Business AsRidgecrest Regional Hospital Ambulatory Surgery Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ridgecrest Regional Hospital Ambulatory Surgery Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

19

Medicare enrollment records show 19 clinicians reassign Medicare billing to Ridgecrest Regional Hospital Ambulatory Surgery Center, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 8

Gastroenterology6
Urology5
General Surgery3
Critical Care (Intensivists)1
Obstetrics/Gynecology1
Orthopedic Surgery1
Pain Management1
Plastic and Reconstructive Surgery1

Clinicians, nearest first (19)

Samir Nayyar, MD
Orthopedic Surgery
NPI 1063703270
12490 BUSINESS CENTER DR STE 100
Victorville, CA 92395
(760) 552-8585
✔ PECOS✔ Accepts Medicare83 mi
Ihab Beblawi, M.D.
Gastroenterology
NPI 1942272075
50 ALESSANDRO PL SUITE 410
Pasadena, CA 91105
(626) 796-7114
✔ PECOS✔ Accepts Medicare108 mi
Tien-Chun Chen, MD
Gastroenterology
NPI 1396005450
6271 ROSEMEAD BLVD
Temple City, CA 91780
(626) 898-4560
✔ PECOS✔ Accepts Medicare108 mi
Ken Nguyen, M.D.
Gastroenterology
NPI 1205193828
6271 ROSEMEAD BLVD
Temple City, CA 91780
(626) 898-4560
✔ PECOS✔ Accepts Medicare108 mi
Dana Pan, MD
Gastroenterology
NPI 1265842934
207 S SANTA ANITA ST STE P15
San Gabriel, CA 91776
(626) 898-4560
✔ PECOS✔ Accepts Medicare109 mi
Mitchell Goldenberg, MBBS, PHD
Urology
NPI 1891365078
1516 SAN PABLO ST 5TH FLOOR
Los Angeles, CA 90089
(323) 865-3589
✔ PECOS✔ Accepts Medicare113 mi
Jeffrey Loh-Doyle, M.D.
Urology
NPI 1477996833
1516 SAN PABLO ST FL 5
Los Angeles, CA 90033
(323) 865-3700
✔ PECOS✔ Accepts Medicare113 mi
Jamal Nabhani, M.D.
Urology
NPI 1750658951
1516 SAN PABLO ST FL 5
Los Angeles, CA 90033
(323) 865-3700
✔ PECOS✔ Accepts Medicare113 mi
Anne Schuckman, MD
Urology
NPI 1871645911
1516 SAN PABLO ST FL 5
Los Angeles, CA 90033
(323) 865-3700
✔ PECOS✔ Accepts Medicare113 mi
Elodi Dielubanza, M.D.
Urology
NPI 1750610804
1331 EASTLAKE AVE
Los Angeles, CA 90033
(323) 865-3700
✔ PECOS✔ Accepts Medicare113 mi
Thien-Trang Nguyen, M.D.
Plastic and Reconstructive Surgery
NPI 1871843243
9201 W SUNSET BLVD STE 718
West Hollywood, CA 90069
(310) 737-8592
✔ PECOS✔ Accepts Medicare115 mi
Andrew Mccague, DO, FACOS, FACS
Critical Care (Intensivists)
NPI 1992903207
4234 RIVERWALK PKWY STE 120
Riverside, CA 92505
(951) 373-5800
✔ PECOS✔ Accepts Medicare120 mi
Lisa Brand, M.D.
General Surgery
NPI 1104178193
4542 LAS POSAS RD STE D
Camarillo, CA 93010
(805) 322-8490
✔ PECOS✔ Accepts Medicare123 mi
Udaya Desilva, M.D.
Pain Management
NPI 1730100330
623 W AVENUE Q SUITE A
Palmdale, CA 93551
(661) 726-6255
✔ PECOS✔ Accepts Medicare134 mi
Vu Dinh, D.O.
General Surgery
NPI 1093928079
425 OLD NEWPORT BLVD
Newport Beach, CA 92663
(949) 438-2476
✔ PECOS✔ Accepts Medicare140 mi
Mark Kogan, M.D.
Gastroenterology
NPI 1780690313
2089 VALE RD SUITE 33
San Pablo, CA 94806
(510) 234-5012
✔ PECOS✔ Accepts Medicare304 mi
Kiran Narsinh, M.D.
Gastroenterology
NPI 1730316977
2089 VALE RD SUITE 33
San Pablo, CA 94806
(510) 234-5012
✔ PECOS✔ Accepts Medicare304 mi
Arjun Chandrasekaran, M.D.
General Surgery
NPI 1811351513
2656 EDITH AVE
Redding, CA 96001
(530) 244-2882
✔ PECOS✔ Accepts Medicare426 mi
Kala Dharma, MD
Obstetrics/Gynecology
NPI 1023193646
4801 ALBERTA AVE
El Paso, TX 79905
(915) 215-5000
✔ PECOS699 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 05D0588246

Ridgecrest Regional Hospital Laboratory · Ridgecrest, CA
Active · expires Aug 16, 2027
CLIA Number05D0588246
Laboratory TypeHospital
Certificate Effective DateAugust 17, 2025
Certificate Expiration DateAugust 16, 2027
Laboratory DirectorDr. Reda M. Tadros
Laboratory Phone(760) 499-3540
Laboratory LocationRidgecrest Regional Hospital Laboratory1081 N China Lake Blvd, Ridgecrest, CA 93555
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Ridgecrest Regional Hospital's NPI number?

The NPI number for Ridgecrest Regional Hospital is 1164067971. It was assigned to this organization in the NPPES registry on November 15, 2019. The provider is doing business as Ridgecrest Regional Hospital Ambulatory Surgery Center.

Where is Ridgecrest Regional Hospital located?

Ridgecrest Regional Hospital is located at 1111 N China Lake Blvd Ste 220, Ridgecrest, CA 93555. The listed phone number is (760) 499-3900.

What is Ridgecrest Regional Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Ridgecrest Regional Hospital enrolled in Medicare?

Yes. Ridgecrest Regional Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ridgecrest Regional Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 8 Medicare specialties reassign their Medicare billing to Ridgecrest Regional Hospital. A 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 the clinician's services. The largest specialties are Gastroenterology (6), Urology (5) and General Surgery (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ridgecrest Regional Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 05D0588246) is associated with this NPI, valid through August 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ridgecrest Regional Hospital was last updated on November 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.