# THE RIDGECREST MEDICAL GROUP PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295672913
- **Authorized official:** MICHAEL WENSLEY MD (OWNER)
- **Authorized official phone:** (949) 705-8226

## Contact information

- **Practice address:** 12235 LA MAIDA ST, VALLEY VILLAGE, CA 91607
- **Practice address phone:** (323) 229-4217
- **Mailing address:** 116 1/2 CRYSTAL AVE, NEWPORT BEACH, CA 92662-1380
- **Mailing address phone:** (949) 610-5240
- **Mailing address fax:** (949) 610-5240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/30/2026
- **Last updated:** 04/30/2026