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EXECUTIVE MEDICAL & SURGICAL ASSOCIATES INC.
NPI 1336299072
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Colton, CA

Active since January 12, 2007
900 E WASHINGTON ST, SUITE 300, COLTON, CA 92324(909) 824-2422(909) 824-8234 Get Directions Write a Review

NPPES record last updated: July 16, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Executive Medical & Surgical Associates Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXECUTIVE MEDICAL & SURGICAL ASSOCIATES INC. (NPI 1336299072) is a healthcare organization registered as an orthopaedic surgery of the spine in Colton, California and active in the NPI registry since January 2007. The organization lists Darren L Bergey, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336299072
Entity TypeOrganization
Primary Taxonomy207XS0117X
Legal Business NameEXECUTIVE MEDICAL & SURGICAL ASSOCIATES INC.
Location Address900 E WASHINGTON ST, SUITE 300Colton, CA 92324
Mailing AddressPo Box 894773Los Angeles, CA 90189-4773 · (909) 824-2422 · Fax (909) 824-8234
Phone(909) 824-2422
Fax(909) 824-8234
Organization SubpartNo
Authorized OfficialDarren L BergeyCeo · (909) 824-2422
Enumeration DateJanuary 12, 2007
Last NPPES UpdateJuly 16, 2015
✔ NPI 1336299072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
900 E WASHINGTON ST, Colton, CA 92324
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Other Identifiers 2

Medicare UPING53228CA
Medicare PINZZZ04181ZCA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Executive Medical & Surgical Associates Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Executive Medical & Surgical Associates Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Darren Bergey, M.D.
Orthopedic Surgery
NPI 1861464711
1040 S MOUNT VERNON AVE #G350
Colton, CA 92324
(909) 824-2422
✔ PECOS✔ Accepts Medicare0.4 mi

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 Executive Medical & Surgical Associates Inc.'s NPI number?

The NPI number for Executive Medical & Surgical Associates Inc. is 1336299072. It was assigned to this organization in the NPPES registry on January 12, 2007.

Where is Executive Medical & Surgical Associates Inc. located?

Executive Medical & Surgical Associates Inc. is located at 900 E Washington St Suite 300, Colton, CA 92324. The listed phone number is (909) 824-2422.

What is Executive Medical & Surgical Associates Inc.'s specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Executive Medical & Surgical Associates Inc. enrolled in Medicare?

Yes. Executive Medical & Surgical Associates Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Executive Medical & Surgical Associates Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Executive Medical & Surgical Associates 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Executive Medical & Surgical Associates Inc. accept?

Health plans from Sanford Health Plan list Executive Medical & Surgical Associates Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Executive Medical & Surgical Associates Inc. was last updated on July 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.