EXECUTIVE MEDICAL & SURGICAL ASSOCIATES INC. – NPI #1336299072
Orthopaedic Surgery

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

EXECUTIVE MEDICAL & SURGICAL ASSOCIATES INC. is an orthopaedic surgeon located in COLTON, CA. NPPES has assigned the NPI number 1336299072 to EXECUTIVE MEDICAL & SURGICAL ASSOCIATES INC. on January 12, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207XS0117X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine

The NPI profile was previously updated about 11 years ago on Jul 16, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EXECUTIVE MEDICAL & SURGICAL ASSOCIATES INC. below.

NPI Profile for
EXECUTIVE MEDICAL & SURGICAL ASSOCIATES INC.

NPI Number
1336299072
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EXECUTIVE MEDICAL & SURGICAL ASSOCIATES INC.
Primary location
900 E WASHINGTON ST
SUITE 300
COLTON, CA 92324
Phone: (909) 824-2422 Fax: (909) 824-8234
Mailing address
PO BOX 894773
LOS ANGELES, CA 90189-4773
Phone: (909) 824-2422 Fax: (909) 824-8234
Organization Subpart
No
Authorized Official
DARREN BERGEY
CEO
Phone: (909) 824-2422
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207XS0117X
- Orthopaedic Surgery / Orthopaedic Surgery of the Spine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.