Organization Active NPI

David G Surdyka MD Inc

  • Orthopaedic Surgery Physician
  • Visalia, CA
National Provider Identifier
1649561341
Registry record updated Jun 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G66992 Issued in CA
Legal business name
DAVID G SURDYKA MD INC
Practice address
2740 W Main St
Visalia, CA 93291-4332
Phone
(760) 985-8930
NPI assigned
Apr 28, 2011
Last updated
Jun 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2011

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

Authorized official

Name
Dr. David Surdyka, MD
Title
Owner
Phone
(760) 985-8930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G66992 CA Primary

Addresses

Primary practice location

2740 W Main St
Visalia, CA 93291-4332

Mailing address

PO Box 2678
Visalia, CA 93279-2678

National Provider Directory

National Provider Directory

Locations

2740 W Main St
Visalia, CA 93291
Phone (225) 445-9778

NPI Registry JSON

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307059200000",
    "number": "1649561341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2678",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932792678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 W MAIN ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914332",
            "telephone_number": "760-985-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID G SURDYKA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2011-06-03",
        "status": "A",
        "authorized_official_last_name": "SURDYKA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-985-8930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G66992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.