Individual provider Active NPI

David Guy Surdyka, MD

  • Orthopaedic Surgery Physician
  • Victorville, CA
National Provider Identifier
1356324461
Registry record updated Sep 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G66992 Issued in CA
Practice address
12490 Business Center Dr Ste 100
Victorville, CA 92395-5833
Phone
(760) 552-8585
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
No

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G66992 CA Primary

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 identifiers 1

IdentifierTypeStateIssuer
G066992OtherCACALIFORNIA MEDICAL LICENSE NUMBER

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
I20050927000310 CA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 4587698758 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
University of California, Irvine, California College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Orthopaedic Trauma Specialists PMCGroup PAC ID 4082992623, 36 clinicians
Desert Valley Medical Group IncGroup PAC ID 4880595875, 78 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

Hospital & facility affiliations

  • Valde Home Health, Inc Home health agency, Victorville, CA, CCN 053161
  • Desert Valley Hospital Hospital, Victorville, CA, CCN 050709
  • Victor Valley Global Medical Center Hospital, Victorville, CA, CCN 050517
  • Barstow Community Hospital Hospital, Barstow, CA, CCN 050298

Procedures performed for Medicare patients

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedic Trauma Specialists, PMC Orthopaedic Surgery Current Accepting new patients
Desert Valley Medical Group, Inc. Current Accepting new patients
Sports Medicine and Orthopaedic Institute Orthopaedic Surgery CurrentSince Dec 29, 2020 Accepting new patients
Prime Healthcare Services - St Francis LLC CurrentSince Mar 10, 2025 Accepting new patients
Victor Valley Community Hospital Past Accepting new patients
St. Mary Medical Center Past Accepting new patients
Adventist Health Tulare Past Accepting new patients
Desert Valley Hospital, LLC Past Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients

Locations

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

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

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

16850 Bear Valley Rd
Ste 101
Victorville, CA 92395

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

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

16850 Bear Valley Rd
Ste 600
Victorville, CA 92395

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

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

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

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: david.surdyka.1@20474.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/a36dfa71-4dd3-4608-9cfb-c7a63ade5531/
  • Direct secure messaging: dsurdyka@yourcarecommunity.org

Organizations & group practices 9

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

Hospital & facility affiliations 4

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694304000000",
    "number": "1356324461",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURDYKA",
        "first_name": "DAVID",
        "middle_name": "GUY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2023-09-10",
        "certification_date": "2023-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G66992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAL LICENSE NUMBER",
            "identifier": "G066992",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.