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SOUTHERN CALIFORNIA BONE AND JOINT CLINIC INC
NPI 1457670226
Orthopaedic Surgery in Apple Valley, CA

Active since May 19, 2010
16008 KAMANA RD, SUITE 100, APPLE VALLEY, CA 92307(760) 956-5200(760) 669-0793 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 1, 2023, Sep 28, 2015 (2 updates tracked since 2015).

About Southern California Bone And Joint Clinic Inc NPPES

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

SOUTHERN CALIFORNIA BONE AND JOINT CLINIC INC (NPI 1457670226) is a healthcare organization registered as an orthopaedic surgery in Apple Valley, California and active in the NPI registry since May 2010. The organization lists Tzu-shang Thomas Liu, President, as its authorized official.

NPPES Registry Identity

NPI1457670226
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameSOUTHERN CALIFORNIA BONE AND JOINT CLINIC INC
Location Address16008 KAMANA RD, SUITE 100Apple Valley, CA 92307-1376
Mailing Address12277 Apple Valley Rd, #288Apple Valley, CA 92308-1701 · (760) 956-5200 · Fax (760) 669-0793
Phone(760) 956-5200
Fax(760) 669-0793
Organization SubpartNo
Authorized OfficialTzu-shang Thomas LiuPresident · (760) 956-5200
Enumeration DateMay 19, 2010
Last NPPES UpdateMarch 1, 20232 updates tracked since enumeration
NPPES CertifiedMarch 1, 2023
✔ NPI 1457670226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in CA · A112382
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
16008 KAMANA RD, Apple Valley, CA 92307
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern California Bone And Joint Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Southern California Bone And Joint Clinic Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Tzu-Shang Liu, MD PHD
Orthopedic Surgery
NPI 1922201318
16008 KAMANA RD SUITE 100
Apple Valley, CA 92307
(760) 956-5200
✔ PECOS✔ Accepts MedicareSame address
Mack Green, MD
Sports Medicine
NPI 1043531676
16008 KAMANA RD SUITE 100
Apple Valley, CA 92307
(760) 956-5200
✔ PECOS✔ Accepts MedicareSame address

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 Southern California Bone And Joint Clinic Inc's NPI number?

The NPI number for Southern California Bone And Joint Clinic Inc is 1457670226. It was assigned to this organization in the NPPES registry on May 19, 2010.

Where is Southern California Bone And Joint Clinic Inc located?

Southern California Bone And Joint Clinic Inc is located at 16008 Kamana Rd Suite 100, Apple Valley, CA 92307. The listed phone number is (760) 956-5200.

What is Southern California Bone And Joint Clinic Inc's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Southern California Bone And Joint Clinic Inc enrolled in Medicare?

Yes. Southern California Bone And Joint Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern California Bone And Joint Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Southern California Bone And Joint Clinic Inc, in Orthopedic Surgery and Sports Medicine. 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. 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 Southern California Bone And Joint Clinic Inc was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.