RIDGECREST MEDICAL GROUP INC
NPI 1942181938
Family Medicine in Valley Village, CA
About Ridgecrest Medical Group Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RIDGECREST MEDICAL GROUP INC (NPI 1942181938) is a healthcare organization registered as a family medicine in Valley Village, California and active in the NPI registry since September 2025. The organization lists Syuzanna Markosyan, President & Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ridgecrest Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Ridgecrest Medical Group Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Ridgecrest Medical Group Inc's NPI number?
The NPI number for Ridgecrest Medical Group Inc is 1942181938. It was assigned to this organization in the NPPES registry on September 8, 2025.
Where is Ridgecrest Medical Group Inc located?
Ridgecrest Medical Group Inc is located at 12233 La Maida St, Valley Village, CA 91607. The listed phone number is (323) 229-4217.
What is Ridgecrest Medical Group Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ridgecrest Medical Group Inc enrolled in Medicare?
Yes. Ridgecrest Medical Group Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ridgecrest Medical Group Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Ridgecrest Medical Group Inc, in Family Practice 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ridgecrest Medical Group Inc was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Ridgecrest Medical Group Inc · NPI 1942181938
Family Medicine organization in Valley Village, California. Organization record, active in the CMS NPPES registry since September 8, 2025.
## Identity
- **NPI:** 1942181938 (Entity type: Organization)
- **Enumerated:** September 8, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Syuzanna Markosyan, PRESIDENT & CEO
## Practice location
- **Address:** 12233 LA MAIDA ST, Valley Village, CA 91607-3622
- **Phone:** (323) 229-4217
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1942181938) · Data from the CMS NPPES public registry.