PEDIATRIC PARTNERS MEDICAL PROFESSIONAL CORPORATION
NPI 1356656664
Pediatrics - Adolescent Medicine in Ridgecrest, CA

Active since August 11, 2010
1111 N CHINA LAKE BLVD, SUITE 120, RIDGECREST, CA 93555(760) 446-7337(760) 446-7338 Get Directions Write a Review

NPPES record last updated: August 11, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pediatric Partners Medical Professional Corporation NPPES

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

PEDIATRIC PARTNERS MEDICAL PROFESSIONAL CORPORATION (NPI 1356656664) is a healthcare organization registered as an adolescent medicine in Ridgecrest, California and active in the NPI registry since August 2010. The organization lists Cheryl Fuchigami-bost, Rn, Chief Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1356656664
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NamePEDIATRIC PARTNERS MEDICAL PROFESSIONAL CORPORATION
Location Address1111 N CHINA LAKE BLVD, SUITE 120Ridgecrest, CA 93555-3131
Mailing Address27699 Jefferson Ave, Suite 300Temecula, CA 92590-2661 · (951) 252-8588 · Fax (951) 252-8589
Fax(760) 446-7338
Organization SubpartNo
Authorized OfficialCheryl Fuchigami-bost, RnChief Operations Officer · (951) 252-8588
Enumeration DateAugust 11, 2010
NPI 1356656664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in CA · 0900009973
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
1111 N CHINA LAKE BLVD, Ridgecrest, CA 93555

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

Other Providers at the Same Location NPPES 20

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

Internal Medicine
1111 N CHINA LAKE BLVD
RIDGECREST, CA 93555
Physician Assistant (Medical)
1111 N CHINA LAKE BLVD, RIDGECREST REGIONAL HOSPITAL
RIDGECREST, CA 93555
Nurse Practitioner (Family)
1111 N CHINA LAKE BLVD
RIDGECREST, CA 93555
Nurse Practitioner
1111 N CHINA LAKE BLVD
RIDGECREST, CA 93555
Podiatrist (Foot & Ankle Surgery)
1111 N CHINA LAKE BLVD, SUITE 301
RIDGECREST, CA 93555
Clinic/Center (Rural Health)
1111 N CHINA LAKE BLVD
RIDGECREST, CA 93555
Internal Medicine
1111 N CHINA LAKE BLVD
RIDGECREST, CA 93555
Psychologist
1111 N CHINA LAKE BLVD
RIDGECREST, CA 93555

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 Pediatric Partners Medical Professional Corporation's NPI number?

The NPI number for Pediatric Partners Medical Professional Corporation is 1356656664. It was assigned to this organization in the NPPES registry on August 11, 2010.

Where is Pediatric Partners Medical Professional Corporation located?

Pediatric Partners Medical Professional Corporation is located at 1111 N China Lake Blvd Suite 120, Ridgecrest, CA 93555. The listed phone number is (760) 446-7337.

What is Pediatric Partners Medical Professional Corporation's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Pediatric Partners Medical Professional Corporation was last updated on August 11, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.