Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RIDGECREST SPECIALTY SURGERY CENTER A PROFESSIONAL CORPORATION
NPI 1396022257
Clinic/Center - Ambulatory Surgical in Ridgecrest, CA

Q: What is Ridgecrest Specialty Surgery Center A Professional Corporation's specialty?

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

Active since November 07, 2011CLIA 05D2048308 · Waiver

1200 N CHINA LAKE BLVD, RIDGECREST, CA 93555(800) 991-6448(424) 369-9555 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 25, 2026, Jun 18, 2021, Aug 7, 2020 (3 updates tracked since 2020).

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About Ridgecrest Specialty Surgery Center A Professional Corporation NPPES

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

RIDGECREST SPECIALTY SURGERY CENTER A PROFESSIONAL CORPORATION (NPI 1396022257) is a healthcare organization registered as an ambulatory surgical in Ridgecrest, California and active in the NPI registry since November 2011. The organization holds a CLIA Waiver certificate valid through August 26, 2027 and lists Sheri Alley, Credentialing, Director, as its authorized official.

NPPES Registry Identity

NPI1396022257

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameRIDGECREST SPECIALTY SURGERY CENTER A PROFESSIONAL CORPORATION

Location Address1200 N CHINA LAKE BLVDRidgecrest, CA 93555

Mailing AddressPo Box 16297Beverly Hills, CA 90209-2297 · (800) 991-6448 · Fax (424) 369-9555

Phone(800) 991-6448

Fax(424) 369-9555

Organization SubpartNo

Authorized OfficialSheri AlleyCredentialing, Director · (661) 388-5240

Enumeration DateNovember 7, 2011

Last NPPES UpdateAugust 25, 20263 updates tracked since enumeration

NPPES CertifiedAugust 25, 2026

✔ NPI 1396022257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

1200 N CHINA LAKE BLVD, Ridgecrest, CA 93555

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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 05D2048308

Ridgecrest Specialty Surgery Center · Ridgecrest, CA

Active · expires Aug 26, 2027

CLIA Number05D2048308

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateAugust 27, 2025

Certificate Expiration DateAugust 26, 2027

Laboratory DirectorDr. Daniel P. Taheri

Laboratory Phone(760) 446-9007

Laboratory LocationRidgecrest Specialty Surgery Center1200 N China Lake Blvd Ste 102, Ridgecrest, CA 93555

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

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.

Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less 14040

This procedure involves repairing a wound on various body parts by transferring skin from another area. The transferred skin, up to 10.0 sq cm, helps to cover the wound, promoting healing and reducing scarring. It's a common method for treating larger or deeper wounds.

37 services32 patients

Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm 11603

This procedure involves the removal of a cancerous skin growth, between 2.1 and 3.0 cm, from the body, arms, or legs. The area is numbed, then the growth is carefully cut out. The goal is to eliminate all cancer cells while minimizing scarring.

32 services25 patients

Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm 13121

This is a procedure to repair a complex wound on your scalp, arm, or leg that is 2.6-7.5 cm long. It involves cleaning, removing damaged tissue, and stitching the wound to promote healing. It's performed under local or general anesthesia.

25 services22 patients

Complicated repair of wound of scalp, arms, or legs, 1.1-2.5 cm 13120

This is a surgical procedure to mend a complex wound between 1.1 to 2.5 cm on your scalp, arm, or leg. It involves cleaning the wound, removing any damaged tissue, and stitching the skin back together. This helps the wound heal properly and reduces the risk of infection.

17 services16 patients

Complicated repair of wound of trunk, 2.6-7.5 cm 13101

This service involves the intricate repair of a wound on your body's main structure, between your neck and limbs. The wound measures 2.6-7.5 cm. The procedure includes deep-layer stitching and may involve repairing damaged tissue.

15 services12 patients

Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less 14020

This procedure involves repairing a wound on your scalp, arm, or leg by transferring a small piece of skin, 10.0 sq cm or less, from a different area of your body. This skin graft helps promote healing and minimizes scarring.

13 services13 patients

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 Specialty Surgery Center A Professional Corporation's NPI number?

The NPI number for Ridgecrest Specialty Surgery Center A Professional Corporation is 1396022257. It was assigned to this organization in the NPPES registry on November 7, 2011.

Where is Ridgecrest Specialty Surgery Center A Professional Corporation located?

Ridgecrest Specialty Surgery Center A Professional Corporation is located at 1200 N China Lake Blvd, Ridgecrest, CA 93555. The listed phone number is (800) 991-6448.

What is Ridgecrest Specialty Surgery Center A Professional Corporation's specialty?

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

Does Ridgecrest Specialty Surgery Center A Professional Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2048308) is associated with this NPI, valid through August 26, 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 Specialty Surgery Center A Professional Corporation was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.