Active NPI
David Guy Surdyka, MD
- Orthopaedic Surgery Physician
- Victorville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G66992
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G066992 | Other | CA | CALIFORNIA 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of California, Irvine, California College of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Desert Valley Hospital
- Victor Valley Global Medical Center
- Barstow Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New 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 | Current | Accepting new patients |
| Prime Healthcare Services - St Francis LLC | Current | 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
- david.surdyka.1@20474.direct.athenahealth.com
- https://fhir-myrecord.cerner.com/r4/a36dfa71-4dd3-4608-9cfb-c7a63ade5531/
- 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.
-
- Physical Therapist
- Victorville, CA
- NPI 1639117864
-
- Orthopaedic Surgery Physician
- Pomona, CA
- NPI 1407304439
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Victorville, CA
- NPI 1669993218
-
- General Acute Care Hospital
- Lynwood, CA
- NPI 1114547114
-
- General Acute Care Hospital
- Tulare, CA
- NPI 1801366711
-
- General Acute Care Hospital
- Victorville, CA
- NPI 1851396576
-
- General Acute Care Hospital
- Visalia, CA
- NPI 1588663769
-
- General Acute Care Hospital
- Apple Valley, CA
- NPI 1669456299
-
- General Acute Care Hospital
- Victorville, CA
- NPI 1952311953
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Victorville, CA
- NPI 1851396576
-
- General Acute Care Hospital
- Barstow, CA
- NPI 1780655670
-
- Home Health Agency
- Victorville, CA
- NPI 1184073389
-
- General Acute Care Hospital
- Victorville, CA
- NPI 1679879589
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.