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AETHERIA AESTHETICS & WELLNESS, INC.
NPI 1700750197
Family Medicine in Ridgecrest, CA

Active since September 30, 2025
901 N HERITAGE DR STE 103, RIDGECREST, CA 93555(760) 282-4931(760) 282-4931 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 13, 2026, Dec 6, 2025, Nov 27, 2025 (3 updates tracked since 2025).

About Aetheria Aesthetics & Wellness, Inc. NPPES

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

AETHERIA AESTHETICS & WELLNESS, INC. (NPI 1700750197) is a healthcare organization registered as a family medicine in Ridgecrest, California and active in the NPI registry since September 2025. The organization lists Jonathan Gary Hodor, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1700750197
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAETHERIA AESTHETICS & WELLNESS, INC.
Location Address901 N HERITAGE DR STE 103Ridgecrest, CA 93555-5541
Mailing Address901 N Heritage Dr Ste 103Ridgecrest, CA 93555-5541 · (760) 282-4931 · Fax (760) 282-4931
Phone(760) 282-4931
Fax(760) 282-4931
Organization SubpartNo
Authorized OfficialJonathan Gary HodorMedical Director · (760) 282-4931
Enumeration DateSeptember 30, 2025
Last NPPES UpdateJanuary 13, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
✔ NPI 1700750197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedIntegrative MedicineTaxonomy 202D00000X
901 N HERITAGE DR STE 103, Ridgecrest, CA 93555
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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)

Aetheria Aesthetics & Wellness, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Aetheria Aesthetics & Wellness, Inc., which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Vickie Alexander, FNP-BC
Nurse Practitioner
NPI 1295517407
12640 HESPERIA RD STE D
Victorville, CA 92395
(760) 684-8999
✔ PECOS✔ Accepts Medicare83 mi
Jonathan Hodor, DO
Internal Medicine
NPI 1720029366
7400 NEVIS RD
Bethesda, MD 20817
(301) 524-8623
✔ PECOS2,226 mi

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

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 Aetheria Aesthetics & Wellness, Inc.'s NPI number?

The NPI number for Aetheria Aesthetics & Wellness, Inc. is 1700750197. It was assigned to this organization in the NPPES registry on September 30, 2025.

Where is Aetheria Aesthetics & Wellness, Inc. located?

Aetheria Aesthetics & Wellness, Inc. is located at 901 N Heritage Dr Ste 103, Ridgecrest, CA 93555. The listed phone number is (760) 282-4931.

What is Aetheria Aesthetics & Wellness, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Aetheria Aesthetics & Wellness, Inc. enrolled in Medicare?

Yes. Aetheria Aesthetics & Wellness, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Aetheria Aesthetics & Wellness, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Aetheria Aesthetics & Wellness, Inc., in 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Aetheria Aesthetics & Wellness, Inc. was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.