HEATHER STONE MEDICAL CLINIC
NPI 1386899268
Internal Medicine in Ridgecrest, CA

Active since November 19, 2008CLIA 05D2002894 · Waiver
900 N HERITAGE DR, BLDG E, RIDGECREST, CA 93555(760) 446-4571 Get Directions Write a Review

NPPES record last updated: October 30, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Heather Stone Medical Clinic NPPES

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

HEATHER STONE MEDICAL CLINIC (NPI 1386899268) is a healthcare organization registered as an internal medicine in Ridgecrest, California and active in the NPI registry since November 2008. The organization holds a CLIA Waiver certificate valid through January 27, 2028 and lists Douglas Emanuel Roberts, President, as its authorized official.

NPPES Registry Identity

NPI1386899268
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDOUGLAS E ROBERTS JR MD A PROFESSIONAL CORPORATION
Location Address900 N HERITAGE DR, BLDG ERidgecrest, CA 93555-5536
Mailing Address900 N Heritage Dr, Bldg ERidgecrest, CA 93555-5536 · (760) 446-4571
Organization SubpartNo
Authorized OfficialDouglas Emanuel RobertsPresident · (760) 446-4571
Enumeration DateNovember 19, 2008
Last NPPES UpdateOctober 30, 2014
✔ NPI 1386899268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
900 N HERITAGE DR, Ridgecrest, CA 93555

Other Names 1

Doing Business AsHeather Stone Medical Clinic

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)

Heather Stone Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Heather Stone Medical Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Family Practice
NPI 1831193408
900 N HERITAGE DR BLDG A
Ridgecrest, CA 93555
(760) 446-4571
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1508869926
900 N HERITAGE DR BLDG E
Ridgecrest, CA 93555
(760) 446-4571
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1184464885
67 EVANS RD
Wofford Heights, CA 93285
(760) 376-2276
✔ PECOS✔ Accepts Medicare44 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 Waiver 05D2002894

Heather Stone Medical Clinic · Ridgecrest, CA
Active · expires Jan 27, 2028
CLIA Number05D2002894
Laboratory TypePhysician Office
Certificate Effective DateJanuary 28, 2026
Certificate Expiration DateJanuary 27, 2028
Laboratory DirectorDouglas Jr E. Roberts
Laboratory Phone(760) 446-4571
Laboratory LocationHeather Stone Medical Clinic900 North Heritage Drive, Bldg E, Ridgecrest, CA 93555
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Douglas E Roberts Jr MD A Professional Corporation's NPI number?

The NPI number for Douglas E Roberts Jr MD A Professional Corporation is 1386899268. It was assigned to this organization in the NPPES registry on November 19, 2008. The provider is doing business as Heather Stone Medical Clinic.

Where is Douglas E Roberts Jr MD A Professional Corporation located?

Douglas E Roberts Jr MD A Professional Corporation is located at 900 N Heritage Dr Bldg E, Ridgecrest, CA 93555. The listed phone number is (760) 446-4571.

What is Douglas E Roberts Jr MD A Professional Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Douglas E Roberts Jr MD A Professional Corporation enrolled in Medicare?

Yes. Douglas E Roberts Jr MD A Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Douglas E Roberts Jr MD A Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Douglas E Roberts Jr MD A Professional Corporation, in Family Practice, Internal Medicine and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Douglas E Roberts Jr MD A Professional Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2002894) is associated with this NPI, valid through January 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Douglas E Roberts Jr MD A Professional Corporation was last updated on October 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.