EXECUTIVE MEDICAL & SURGICAL ASSOC. INC. - NPI 1609887322

Q: What is Executive Medical & Surgical Assoc. Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

On this page

About Executive Medical & Surgical Assoc. Inc. NPPES

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

EXECUTIVE MEDICAL & SURGICAL ASSOC. INC. (NPI 1609887322) is a healthcare organization registered as a specialist in Colton, California and active in the NPI registry since August 2006. The organization lists Darren L Bergey, President, as its authorized official.

NPPES Registry Identity

NPI1609887322

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameEXECUTIVE MEDICAL & SURGICAL ASSOC. INC.

Location Address900 E WASHINGTON ST STE 200Colton, CA 92324-4192

Mailing Address1040 S. Mt. Vernon Ave., #g350Colton, CA 92324 · (909) 824-2422 · Fax (909) 824-8234

Phone(909) 824-2422

Fax(909) 824-8234

Organization SubpartNo

Authorized OfficialDarren L BergeyPresident · (909) 824-2422

Enumeration DateAugust 10, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1609887322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · A72267

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

900 E WASHINGTON ST STE 200, Colton, CA 92324

Open in Google Maps ↗

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. OLIVIA MARIE MARSHALL PA

Physician Assistant

900 E WASHINGTON ST STE 200
COLTON, CA 92324

San Bernardino County (909) 882-5867

RICHARD A BIAMA MD

Orthopaedic Surgery

900 E WASHINGTON ST STE 200
COLTON, CA 92324

San Bernardino County (909) 882-5867

FACULTY PHYSICIANS AND SURGEONS OF LLUSM

Orthopaedic Surgery

900 E WASHINGTON ST STE 200
COLTON, CA 92324

San Bernardino County (909) 558-4000

ERIC LEWIS PT

Physical Therapist

900 E WASHINGTON ST STE 200
COLTON, CA 92324

San Bernardino County (909) 882-5867

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 Assoc. Inc.'s NPI number?

The NPI number for Executive Medical & Surgical Assoc. Inc. is 1609887322. It was assigned to this organization in the NPPES registry on August 10, 2006.

Where is Executive Medical & Surgical Assoc. Inc. located?

Executive Medical & Surgical Assoc. Inc. is located at 900 E Washington St Ste 200, Colton, CA 92324. The listed phone number is (909) 824-2422.

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

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Executive Medical & Surgical Assoc. Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.