THE RIDGECREST MEDICAL GROUP PC
NPI 1295672913
General Practice in Valley Village, CA

Active since April 30, 2026
12235 LA MAIDA ST, VALLEY VILLAGE, CA 91607(323) 229-4217 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Ridgecrest Medical Group Pc NPPES

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

THE RIDGECREST MEDICAL GROUP PC (NPI 1295672913) is a healthcare organization registered as a general practice in Valley Village, California and active in the NPI registry since April 2026. The organization lists Michael Wensley, Owner, as its authorized official.

NPPES Registry Identity

NPI1295672913
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameTHE RIDGECREST MEDICAL GROUP PC
Location Address12235 LA MAIDA STValley Village, CA 91607
Mailing Address116 1/2 Crystal AveNewport Beach, CA 92662-1380 · (949) 610-5240 · Fax (949) 610-5240
Organization SubpartNo
Authorized OfficialMichael WensleyOwner · (949) 705-8226
Enumeration DateApril 30, 2026
NPPES CertifiedApril 25, 2026
NPI 1295672913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
12235 LA MAIDA ST, Valley Village, CA 91607

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 The Ridgecrest Medical Group PC's NPI number?

The NPI number for The Ridgecrest Medical Group PC is 1295672913. It was assigned to this organization in the NPPES registry on April 30, 2026.

Where is The Ridgecrest Medical Group PC located?

The Ridgecrest Medical Group PC is located at 12235 La Maida St, Valley Village, CA 91607. The listed phone number is (323) 229-4217.

What is The Ridgecrest Medical Group PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for The Ridgecrest Medical Group PC was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.