Individual provider Active NPI

Justin J Sherfey, DO

  • Orthopaedic Surgery Physician
  • Lancaster, CA
National Provider Identifier
1689786873
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
20A13540 Issued in CA
Practice address
42135 10TH St W Ste 101
Lancaster, CA 93534-7099
Phone
(661) 726-5005
Fax
(661) 726-5377
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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 OP00001966 WA
Orthopaedic Surgery Physician 207X00000X 20A13540 CA Primary

Addresses

Primary practice location

42135 10TH St W Ste 101
Lancaster, CA 93534-7099

Mailing address

42135 10TH St W Ste 101
Lancaster, CA 93534-7099
Phone (661) 726-5005

Other practice location 1

1900 Cooks Hill Rd
Centralia, WA 98531-9073
Phone (360) 736-2889

Other identifiers 1

IdentifierTypeStateIssuer
8419236MedicaidWA

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
I20150324001871 CA Practitioner - Orthopedic Surgery 2961441266 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avors Medical GroupGroup PAC ID 6901989904, 18 clinicians

Practice addresses (Care Compare)

42135 10TH St W
Suite 101
Lancaster, CA 93534-7099
Phone (661) 726-5005

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement14
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13540CAMDAddiction (Substance Use Disorder) Counselor
20A13540CAMDOrthopaedic Surgery Physician
OP00001966WAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avors Medical Group Orthopaedic Surgery CurrentSince May 1, 2015 Accepting new patients
Familyfirst Family Medical Practice Inc Current Accepting new patients
Embassy Surgery Center, LLC CurrentSince Feb 1, 2017 Accepting new patients
Lancaster Hospital Corporation Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Washington Orthopaedic Center, Inc, PS Past Accepting new patients

Locations

42135 10th St W
Ste 101
Lancaster, CA 93534
Phone (661) 341-3800

42135 10th St W
Lancaster, CA 93534
Phone (661) 237-5454

42135 10th St W
Ste 325
Lancaster, CA 93534
Phone (661) 237-5454

1011 N China Lake Blvd
Ste B
Ridgecrest, CA 93555
Phone (661) 726-5005

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: avors.justonsherefy@133862.advancedmd-direct.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1689786873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42135 10TH ST W STE 101",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347099",
            "telephone_number": "661-726-5005",
            "fax_number": "662-726-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42135 10TH ST W STE 101",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347099",
            "telephone_number": "661-726-5005",
            "fax_number": "661-726-5377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Cooks Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Centralia",
            "state": "WA",
            "postal_code": "985319073",
            "country_code": "US",
            "telephone_number": "360-736-2889",
            "fax_number": "360-736-3136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERFEY",
        "first_name": "JUSTIN",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "OP00001966",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "20A13540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8419236",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.