DE ANZA ORTHOPEDIC MEDICAL GROUP, INC.
NPI 1255762340
Orthopaedic Surgery in Moreno Valley, CA
About De Anza Orthopedic Medical Group, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DE ANZA ORTHOPEDIC MEDICAL GROUP, INC. (NPI 1255762340) is a healthcare organization registered as an orthopaedic surgery in Moreno Valley, California and active in the NPI registry since November 2013. The organization lists Wade Faerber, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
De Anza Orthopedic Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
21Medicare enrollment records show 21 clinicians reassign Medicare billing to De Anza Orthopedic Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 21Moreno Valley, CA 92555
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is De Anza Orthopedic Medical Group, Inc.'s NPI number?
The NPI number for De Anza Orthopedic Medical Group, Inc. is 1255762340. It was assigned to this organization in the NPPES registry on November 27, 2013.
Where is De Anza Orthopedic Medical Group, Inc. located?
De Anza Orthopedic Medical Group, Inc. is located at 26520 Cactus Ave, Moreno Valley, CA 92555. The listed phone number is (951) 486-5690.
What is De Anza Orthopedic Medical Group, Inc.'s specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is De Anza Orthopedic Medical Group, Inc. enrolled in Medicare?
Yes. De Anza Orthopedic Medical Group, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through De Anza Orthopedic Medical Group, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 2 Medicare specialties reassign their Medicare billing to De Anza Orthopedic Medical Group, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Orthopedic Surgery (16) and Podiatry (5). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for De Anza Orthopedic Medical Group, Inc. was last updated on June 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# De Anza Orthopedic Medical Group, Inc. · NPI 1255762340
Orthopaedic Surgery organization in Moreno Valley, California. Organization record, active in the CMS NPPES registry since November 27, 2013.
## Identity
- **NPI:** 1255762340 (Entity type: Organization)
- **Enumerated:** November 27, 2013
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **Organization subpart:** No
- **Authorized official:** Wade Faerber, DIRECTOR
## Practice location
- **Address:** 26520 CACTUS AVE, Moreno Valley, CA 92555
- **Phone:** (951) 486-5690 · **Fax:** (951) 486-5213
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 21 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Orthopedic Surgery (16), Podiatry (5); 2 practice at this address; [full list](https://npiprofile.com/npi/1255762340/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 26, 2018
---
Source: [NPI Profile](https://npiprofile.com/npi/1255762340) · Data from the CMS NPPES public registry.