Individual provider Active NPI

Samir Nayyar, MD

  • Orthopaedic Surgery Physician
  • Victorville, CA
National Provider Identifier
1063703270
Registry record updated Sep 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A144350 Issued in CA
Practice address
12490 Business Center Dr Ste 100
Victorville, CA 92395-5833
Phone
(760) 552-8585
Fax
(760) 243-4276
NPI assigned
Apr 21, 2011
Last updated
Sep 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A144350 CA Primary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X A144350 CA

Addresses

Primary practice location

12490 Business Center Dr Ste 100
Victorville, CA 92395-5833

Mailing address

17100B Bear Valley Rd # 283
Victorville, CA 92395-5851
Phone (760) 552-8585

Other practice location 1

2150 N Waterman Ave Ste 303
San Bernardino, CA 92404-4811
Phone (760) 552-8585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171108002280 CA Practitioner - Orthopedic Surgery 8325332810 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
State University of New York at Buffalo School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Desert Valley Medical Group IncGroup PAC ID 4880595875, 78 clinicians
Bear Valley Community Health Care DistrictGroup PAC ID 0345138582, shared by 3 NPIs, 28 clinicians

Practice addresses (Care Compare)

160 E Artesia St
Suite 255
Pomona, CA 91767-2921
Phone (909) 596-4346

16850 Bear Valley Rd
Victorville, CA 92395-5794
Phone (760) 241-8000

PO Box
Suite 1649
Big Bear Lake, CA 92315-1649

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement17
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A144350CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgecrest Regional Hospital Multi-Specialty CurrentSince Oct 1, 2023 Accepting new patients
Choice Urgent Care Multi-Specialty CurrentSince Oct 28, 2024 Accepting new patients
Premier Orthopaedic Trauma Specialists, PMC Multi-Specialty CurrentSince Jan 15, 2025 Accepting new patients
Ridgecrest Regional Hospital Multi-Specialty CurrentSince Oct 1, 2023 Accepting new patients
Physicians' Surgery Center of Victorville LLC Current Accepting new patients
Desert Valley Medical Group, Inc. Multi-Specialty Current Accepting new patients
Sports Medicine and Orthopaedic Institute Multi-Specialty CurrentSince Apr 19, 2017 Accepting new patients
Caremd, Inc. Multi-Specialty CurrentSince May 24, 2024 Accepting new patients
Desert Valley Medical Group, Inc. Multi-Specialty CurrentSince Sep 23, 2017 Accepting new patients
Desert Valley Medical Group, Inc Multi-Specialty CurrentSince Sep 23, 2017 Accepting new patients
Dignity Health Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients
Desert Valley Hospital, LLC Past Accepting new patients
Victor Valley Community Hospital Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients

Locations

264 N Highland Springs Ave
Ste 2A
Banning, CA 92220
Phone (951) 845-8589

1890 W Main St
Ste 130
Barstow, CA 92311
Phone (442) 255-4012

25805 Barton Rd
Loma Linda, CA 92354
Phone (909) 315-6909

25915 Barton Rd
Ste 203
Loma Linda, CA 92354
Phone (909) 703-1612

5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111

160 E Artesia St
Ste 255
Pomona, CA 91767
Phone (909) 620-0900

160 E Artesia St
Ste 360
Pomona, CA 91767
Phone (909) 629-4604

1041 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0121

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

1111 N China Lake Blvd
#220
Ridgecrest, CA 93555
Phone (760) 446-8100

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

1250 N Waterman Ave Ste 302303
San Bernardino, CA 92404

2150 N Waterman Ave
Ste 303
San Bernardino, CA 92404
Phone (909) 383-9385

400 N Mountain Ave
Ste 100
Upland, CA 91786

600 N Euclid Ave
Ste 202
Upland, CA 91786
Phone (840) 237-3344

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

12490 Business Center Dr
#100
Victorville, CA 92395
Phone (605) 528-5857

12490 Business Center Dr
Ste 100
Victorville, CA 92395
Phone (760) 522-8585

13010 Hesperia Rd
Ste 600
Victorville, CA 92395
Phone (760) 350-2498

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

16850 Bear Valley Rd
Ste 101
Victorville, CA 92395

17100 Bear Valley Rd
Ste B
Victorville, CA 92395
Phone (760) 912-9899

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: samir.nayyar.1@20474.direct.athenahealth.com
  • Direct secure messaging: samir.nayyar.p1@direct.dvmg.nextgenshare.com
  • Direct secure messaging: snayyar@yourcarecommunity.org

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694304000000",
    "number": "1063703270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100B BEAR VALLEY RD # 283",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955851",
            "telephone_number": "760-552-8585",
            "fax_number": "760-243-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12490 BUSINESS CENTER DR STE 100",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955833",
            "telephone_number": "760-552-8585",
            "fax_number": "760-243-4276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 N Waterman Ave Ste 303",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924044811",
            "country_code": "US",
            "telephone_number": "760-552-8585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAYYAR",
        "first_name": "SAMIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-21",
        "last_updated": "2023-09-10",
        "certification_date": "2023-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A144350",
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "CA",
            "license": "A144350",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.