Individual provider Active NPI

Maxim Spektor, D.O.

  • Surgery Physician
  • Yucca Valley, CA
National Provider Identifier
1396030292
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
20A14822 Issued in CA
Practice address
57407 29 Palms Hwy Ste a
Yucca Valley, CA 92284-2907
Phone
(760) 498-5349
Fax
(760) 418-4638
NPI assigned
Jun 20, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 20A14822 CA Primary

Addresses

Primary practice location

57407 29 Palms Hwy Ste a
Yucca Valley, CA 92284-2907

Mailing address

57407 29 Palms Hwy Ste a
Yucca Valley, CA 92284-2907
Phone (760) 498-5349

Other practice location 1

41865 Boardwalk Ste 215
Palm Desert, CA 92211-9033
Phone (760) 498-5349

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
I20160922000310 CA Practitioner - General Surgery 3870880677 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

57407 29 Palms Hwy
Suite a
Yucca Valley, CA 92284-2907
Phone (760) 498-5349

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy11
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux12
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14822CAMDAcupuncturist
20A14822CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spektor Surgical, Inc. Surgery CurrentSince Aug 1, 2020 Accepting new patients
First Choice Physician Partners Neurological Surgery Current Accepting new patients
First Choice Physician Partners CurrentSince Jul 17, 2017 Accepting new patients
First Choice Physician Partners Current Accepting new patients
First Choice Physician Partners CurrentSince Jul 17, 2017 Accepting new patients
Rideout Memorial Hospital Past Accepting new patients
Hi-Desert Medical Center Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients

Locations

1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839

1541 Florida Ave
Modesto, CA 95350
Phone (209) 214-7049

41865 Boardwalk
Ste 215
Palm Desert, CA 92211
Phone (760) 341-6655

1180 N Indian Canyon Dr
Ste E421
Palm Springs, CA 92262
Phone (760) 424-8224

35800 Bob Hope Dr
Ste 225
Rancho Mirage, CA 92270
Phone (760) 324-4466

57445 29 Palms Hwy
Ste 301
Yucca Valley, CA 92284
Phone (760) 365-2800

57407 29 Palms Hwy
Ste A
Yucca Valley, CA 92284
Phone (760) 498-5349

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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 1

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": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1396030292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57407 29 PALMS HWY STE A",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842907",
            "telephone_number": "760-498-5349",
            "fax_number": "760-418-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57407 29 PALMS HWY STE A",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842907",
            "telephone_number": "760-498-5349",
            "fax_number": "760-418-4638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41865 Boardwalk Ste 215",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922119033",
            "country_code": "US",
            "telephone_number": "760-498-5349",
            "fax_number": "760-418-4638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPEKTOR",
        "first_name": "MAXIM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "20A14822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucca Valley, CA

Sources for this page

Verify at the official NPI Registry.