DR. BRENT RIDDER M.D.
NPI 1730120163
Family Medicine in Laguna Hills, CA

Q: What is Brent Ridder's NPI number?

The NPI number for Brent Ridder is 1730120163. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Q: What is Brent Ridder's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brent Ridder was last updated on July 13, 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.

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment

23961 CALLE DE LA MAGDALENA, #115, LAGUNA HILLS, CA 92653(949) 206-4633(949) 855-2314 Get Directions Write a Review

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

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About Dr. Brent Ridder M.d. NPPES

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

DR. BRENT RIDDER M.D. (NPI 1730120163) is an individual family medicine provider in Laguna Hills, California, licensed in California (A80485) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Missouri, Kansas City, School Of Medicine (1998).

NPPES Registry Identity

NPI1730120163

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. BRENT RIDDERCredential: M.D.

Location Address23961 CALLE DE LA MAGDALENA, #115Laguna Hills, CA 92653-3616

Mailing Address23961 Calle De La Magdalena, #115Laguna Hills, CA 92653-3616 · (949) 206-4633 · Fax (949) 855-2314

Phone(949) 206-4633

Fax(949) 855-2314

Sole ProprietorNo

Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 1998

Enumeration DateJune 9, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1730120163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A80485

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.

23961 CALLE DE LA MAGDALENA, Laguna Hills, CA 92653

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brent Ridder M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537123088

PECOS Enrollment IDI20041115001337

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Brent Ridder reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sand Canyon Medical Group

5.1 mi

Urgent Care

16100 SAND CANYON AVE, SUITE 150
Irvine, CA 92618

Reassigned Medicare billing, California enrollment
8 clinicians in this Medicare group

NPI 1962688390 (949) 417-0272

Hmts, Inc

5.2 mi

Urgent Care

16205 SAND CANYON AVE STE 100
Irvine, CA 92618

Reassigned Medicare billing, California enrollment
89 clinicians in this Medicare group

NPI 1326828575 (949) 557-0000

Laguna Beach Urgent Care, Inc.

8.2 mi

Urgent Care

32341 COAST HWY
Laguna Beach, CA 92651

Reassigned Medicare billing, California enrollment
3 clinicians in this Medicare group

NPI 1710340559 (909) 981-9800

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

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

27 services26 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92653 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MATTHEW HARRIS, MD, A MEDICAL CORPORATION

Anesthesiology (Pain Medicine)

23961 CALLE DE LA MAGDALENA, SUITE 405
LAGUNA HILLS, CA 92653

Orange County (949) 588-7246

ROBERT J JACKSON M.D.

Neurological Surgery

23961 CALLE DE LA MAGDALENA, 504
LAGUNA HILLS, CA 92653

Orange County (949) 588-5800

SADDLEBACK VALLEY NEUROSCIENCE MEDICAL GROUP

Psychiatry & Neurology (Neurology)

23961 CALLE DE LA MAGDALENA, SUITE 317
LAGUNA HILLS, CA 92653

Orange County (949) 837-1133

MRS. MICHELLE M FARRELL PT

Physical Therapist

23961 CALLE DE LA MAGDALENA, SADDLEBACK MEDICAL GROUP, INC, SUITE 130
LAGUNA HILLS, CA 92653

Orange County (949) 588-8700

DR. JAMES M HAWKINS MD

Internal Medicine (Cardiovascular Disease)

23961 CALLE DE LA MAGDALENA, #130
LAGUNA HILLS, CA 92653

Orange County (949) 465-8155

ROBIN W ANDREWS DPM

Podiatrist (Foot Surgery)

23961 CALLE DE LA MAGDALENA, #143
LAGUNA HILLS, CA 92653

Orange County (949) 768-9495

DR. SARA ETEMAD M.D.

Family Medicine

23961 CALLE DE LA MAGDALENA
LAGUNA HILLS, CA 92653

Orange County (949) 238-4100

SOUTH COAST EYE CARE CENTERS A COMP OPHTHALMOLOGY MEDICAL GRP INC.

Ophthalmology

23961 CALLE DE LA MAGDALENA, STE. 302
LAGUNA HILLS, CA 92653

Orange County (949) 588-2020

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 Brent Ridder's NPI number?

The NPI number for Brent Ridder is 1730120163. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Brent Ridder located?

Brent Ridder practices at 23961 Calle De La Magdalena #115, Laguna Hills, CA 92653. The listed phone number is (949) 206-4633.

What is Brent Ridder's specialty?

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

Is Brent Ridder enrolled in Medicare?

Yes. Brent Ridder is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Brent Ridder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brent Ridder reassigns Medicare benefits to 3 organizations: Sand Canyon Medical Group (Irvine, CA), Hmts, Inc (Irvine, CA) and Laguna Beach Urgent Care, Inc. (Laguna Beach, CA). Each 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 Brent Ridder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brent Ridder was last updated on July 13, 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.