Unknown Individual – Orthopaedic Surgery Physician, NPI 1780669192
Orthopaedic Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for Unknown Individual
20258 US HIGHWAY 18 STE 430-413
APPLE VALLEY, CA 923076197
Phone: (760) 245-2663
Fax: (760) 245-2668
Type: Mailing
15201, 11th Street, Victorville, San Bernardino County, California, 92395, United States
SUITE 400
VICTORVILLE, CA 923953735
Phone: (760) 245-2663
Fax: (760) 245-2668
Type: Location
41870 Garstin Dr
PO BOX 1649
Big Bear Lake, CA 923151649
Phone: (909) 866-6501
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92307)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.