MEDICARE: RIDGECREST SPECIALTY SURGERY CENTER A PROFESSIONAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1396022257
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIDGECREST SPECIALTY SURGERY CENTER A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	PO BOX 16297
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90209-2297
Country	:	US
Telephone Number	:	800-991-6448
Fax Number	:	424-369-9555

Provider Business Practice Location Address
First Line	:	1200 N CHINA LAKE BLVD
Second Line	:
City	:	RIDGECREST
State	:	CA
Zip	:	93555
Country	:	US
Telephone Number	:	800-991-6448
Fax Number	:	424-369-9555

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. DANIEL PARDIS TAHERI
Credential	:	MD
Telephone Number	:	310-922-1412

Provider Enumeration Date	:	11/07/2011
Last Update Date	:	06/18/2026

Similar Medicare Providers

1538849211 — JESSE EDWARD SMITH 373H0000X
Practice Location Address:

1141 CHELSEA ST
RIDGECREST, CA
93555-3208

Practice Phone: 760-463-2880
Practice Fax: 760-446-0298

1811822380 — RIDGECREST MEDICAL TRANSPORT CORPORATION
Practice Location Address:

1201 W RIDGECREST BLVD
RIDGECREST, CA
93555-5429

Practice Phone: 760-495-2394
Practice Fax:

1336154343 — WALGREEN CO
Practice Location Address:

101 W DRUMMOND AVE
RIDGECREST, CA
93555-3117

Practice Phone: 760-384-2358
Practice Fax:

1811821069 — DANIEL THOMAS SANCHEZ
Practice Location Address:

1336 MAYO ST
RIDGECREST, CA
93555-8815

Practice Phone: 800-925-4733
Practice Fax:

1417625211 — DR. MICHAEL G BORCHIK DDS
Practice Location Address:

1 ADMINISTRATION CIR
RIDGECREST, CA
93555-6104

Practice Phone: 760-939-8030
Practice Fax:

1912900739 — HOPE A WILDENBERG M.D.
Practice Location Address:

105 E SYDNOR AVE STE 100
RIDGECREST, CA
93555-5546

Practice Phone: 760-446-6404
Practice Fax: 760-446-6415

Directions to “RIDGECREST SPECIALTY SURGERY CENTER A PROFESSIONAL CORPORATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.