Advanced Orthopedic Specialists Medical Corporation
Organization Active NPI Orthopaedic Surgery Physician · Ridgecrest, CA
NPI 1679656649 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1679656649
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- A68720 (CA)
- Legal business name
- ADVANCED ORTHOPEDIC SPECIALISTS MEDICAL CORPORATION
- Practice address
- 720 N Norma St
Suite a and B
Ridgecrest, CA 93555-3553 - Phone
- (760) 485-7402
- Fax
- (760) 771-4183
- NPI assigned
- Oct 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Robert M. Fay, M.D.
- Title
- President
- Phone
- (760) 485-7402
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician |
204C00000X | A68720 | CA | |
| Neuromusculoskeletal Medicine & OMM Physician |
204D00000X | A68720 | CA | |
| Orthopaedic Surgery Physician |
207X00000X | A68720 | CA | Yes |
| Orthopaedic Hand Surgery Physician |
207XS0106X | A68720 | CA | |
| Adult Reconstructive Orthopaedic Surgery Physician |
207XS0114X | A68720 | CA | |
| Orthopaedic Surgery of the Spine Physician |
207XS0117X | A68720 | CA | |
| Orthopaedic Foot and Ankle Surgery Physician |
207XX0004X | A68720 | CA | |
| Sports Medicine (Orthopaedic Surgery) Physician |
207XX0005X | A68720 | CA | |
| Orthopaedic Trauma Physician |
207XX0801X | A68720 | CA | |
| Plastic Surgery Physician |
208200000X | A68720 | CA | |
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician |
2082S0099X | A68720 | CA | |
| Surgery of the Hand (Plastic Surgery) Physician |
2082S0105X | A68720 | CA | |
| Surgical Critical Care Physician |
2086S0102X | A68720 | CA | |
| Trauma Surgery Physician |
2086S0127X | A68720 | CA |
Addresses
Primary practice location
720 N Norma St
Suite a and B
Ridgecrest, CA 93555-3553
Mailing address
PO Box 839
La Quinta, CA 92247-0839
Phone (760) 485-7402
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A68720 | Other | CA | MEDICAL LICENSE |
Other providers in Ridgecrest, CA
- Deanna Joy Acosta
- Adaptability Mindset
- Advanced Sleep Medicine Services, Inc.
- Aegis Treatment Centers, LLC
- Aetheria Aesthetics & Wellness, Inc.
- Justin Neal Agee
- Sesiah Aguirre
All providers in Ridgecrest, CA · Orthopaedic Surgery Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.