Organization Active NPI

Spektor Surgical, Inc.

  • Surgery Physician
  • Yucca Valley, CA
National Provider Identifier
1538786900
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SPEKTOR SURGICAL, INC.
Practice address
57407 29 Palms Hwy Ste a
Yucca Valley, CA 92284-2907
Phone
(862) 485-0461
Fax
(760) 418-4638
NPI assigned
Jul 1, 2020
Last updated
Feb 9, 2026By the provider in NPPES
Organization subpart
No

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

Authorized official

Name
Dr. Maxim Spektor, DONPI 1396030292
Title
Owner
Phone
(862) 485-0461

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 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 (862) 485-0461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201012001064 CA Part B Supplier - Clinic/Group Practice 9830519958 Receives reassigned benefits from 1 practitioner
Practice locations: Yucca Valley, CA

National Provider Directory

National Provider Directory

Locations

41990 Cook St
Ste 302
Palm Desert, CA 92211
Phone (760) 895-4123

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1538786900",
    "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": "862-485-0461",
            "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": "862-485-0461",
            "fax_number": "760-418-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEKTOR SURGICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A",
        "authorized_official_last_name": "SPEKTOR",
        "authorized_official_first_name": "MAXIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-485-0461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucca Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.