Active NPI
Talaat F Maximous, MD
- Orthopaedic Surgery Physician
- Barstow, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- A38348
- 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, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 38348 | CA | MD | Oral & Maxillofacial Surgery (D.M.D.) |
| A38348 | CA | MD | Orthopaedic Surgery Physician |
| 0101037825 | VA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Miguel Urgent Care Panorama City | Current | Accepting new patients | |
| Ravindra Gautam, M.D., Inc. | Current | Accepting new patients | |
| Envap Buenviaje-Smith PC | Current | Accepting new patients | |
| Christo Cardiology & Vascular Medicine Inc | Current | Accepting new patients | |
| Priority Family Care Center Apc | Current | 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.
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- NPI 1508193913
-
- Cardiovascular Disease Physician
- Los Angeles, CA
- NPI 1982298394
-
- Internal Medicine Physician
- Barstow, CA
- NPI 1366490310
-
- Urgent Care Clinic/Center
- Panorama City, CA
- NPI 1033877881
-
dba physical medicine rehabilitation center
- Orthopaedic Surgery Physician
- Oxon Hill, MD
- NPI 1154308336
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.