Individual provider Active NPI

Talaat F Maximous, MD

  • Orthopaedic Surgery Physician
  • Barstow, CA
National Provider Identifier
1649274176
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A38348 Issued in CA
Practice address
930 W Main St
Barstow, CA 92311-2654
Phone
(760) 256-1004
Fax
(760) 255-9001
NPI assigned
Jun 13, 2005
Last updated
Jun 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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 A38348 CA Primary
Orthopaedic Surgery Physician 207X00000X 0101037825 VA

Addresses

Primary practice location

930 W Main St
Barstow, CA 92311-2654

Mailing address

930 W Main St
Barstow, CA 92311-2654
Phone (760) 256-1004

Other practice location 1

121 S 7th Ave Ste A
Barstow, CA 92311-3059
Phone (760) 818-4228

Other practice location 2

27170 Lakeview Dr # 403
Helendale, CA 92342-7811
Phone (760) 243-9944

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
I20160419001959 CA Practitioner - Orthopedic Surgery 7618929944 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christo Cardiology and Vascular Medicine IncGroup PAC ID 0446794242, 8 clinicians

Practice addresses (Care Compare)

2423 N Broadway
Los Angeles, CA 90031-2218
Phone (213) 376-3762

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38348CAMDOral & Maxillofacial Surgery (D.M.D.)
A38348CAMDOrthopaedic Surgery Physician
0101037825VAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Miguel Urgent Care Panorama City CurrentSince Jun 11, 2025 Accepting new patients
Ravindra Gautam, M.D., Inc. CurrentSince Jun 1, 2020 Accepting new patients
Envap Buenviaje-Smith PC CurrentSince Apr 1, 2021 Accepting new patients
Christo Cardiology & Vascular Medicine Inc CurrentSince May 1, 2024 Accepting new patients
Priority Family Care Center Apc CurrentSince Jan 1, 2024 Accepting new patients
Metro Wash Ortho Association Orthopaedic Surgery Past Accepting new patients

Locations

16085 Tuscola Rd
Ste 23
Apple Valley, CA 92307
Phone (760) 810-0301

121 S 7th Ave
Ste A
Barstow, CA 92311
Phone (760) 818-4228

930 W Main St
Barstow, CA 92311
Phone 7602561004306

1762 Westwood Blvd
Ste 110
Los Angeles, CA 90024
Phone (310) 441-2000

2423 N Broadway
Los Angeles, CA 90031
Phone (213) 376-3762

9090 Milliken Ave
Ste 140
Rancho Cucamonga, CA 91730
Phone (909) 481-8444

12223 Highland Ave
Ste 106
Rch Cucamonga, CA 91739
Phone (323) 423-4015

8781 Van Nuys Blvd
Van Nuys, CA 91402
Phone (818) 313-9011

15030 Seventh St
Victorville, CA 92395
Phone (213) 376-3762

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1649274176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 W MAIN ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112654",
            "telephone_number": "760-256-1004",
            "fax_number": "760-256-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 W MAIN ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112654",
            "telephone_number": "760-256-1004",
            "fax_number": "760-255-9001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 S 7th Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Barstow",
            "state": "CA",
            "postal_code": "923113059",
            "country_code": "US",
            "telephone_number": "760-818-4228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27170 Lakeview Dr # 403",
            "address_purpose": "LOCATION",
            "city": "Helendale",
            "state": "CA",
            "postal_code": "923427811",
            "country_code": "US",
            "telephone_number": "760-243-9944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXIMOUS",
        "first_name": "TALAAT",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A38348",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101037825",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barstow, CA

Sources for this page

Verify at the official NPI Registry.