CMS-1500 Box 24J / 33a • NPI
1679656649
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
207X00000X (CMS 02)
Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
Box 32 Service Location & ZIP+4
720 N NORMA ST, SUITE A AND B, RIDGECREST, CA, 93555-3553
✓ 9-Digit EDI 837 ZIP+4 (93555-3553)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1679656649 (ADVANCED ORTHOPEDIC SPECIALISTS MEDICAL CORPORATION) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1679656649 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ADVANCED ORTHOPEDIC SPECIALISTS MEDICAL CORPORATION |
| Plain-English Specialty | Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) NUCC Code: 207X00000X (Orthopaedic Surgery) |
| Certifying / Licensing Body | American Board of Orthopaedic Surgery (ABOS) |
| Practice Location Address | 720 N NORMA ST, SUITE A AND B, RIDGECREST, CA, 93555-3553 |
| Practice Telephone / Fax | Tel: (760) 485-7402 | Fax: (760) 771-4183 |
| Administrative Mailing Address | PO BOX 839, LA QUINTA, CA, 92247-0839 |
| Enumeration & Last Sync | Enumerated: 2006-10-23 | CMS Record Updated: 2023-03-07 |
| Authorized Official | ROBERT FAY (President) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207X00000X)
What Does Taxonomy Code 207X00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207X00000X translates to:
"Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ADVANCED ORTHOPEDIC SPECIALISTS MEDICAL CORPORATION)
Typical CPT / Diagnostic Procedures:- Total Knee Arthroplasty (CPT 27447) & Total Hip Arthroplasty (CPT 27130)
- Arthroscopic Rotator Cuff & ACL Ligament Reconstruction
- Intra-Articular Corticosteroid & Hyaluronic Acid Joint Injections (CPT 20610)
- Fracture Reduction, Internal Fixation & Carpal Tunnel Release
- NSAIDs & Selective COX-2 Inhibitors (Meloxicam, Celecoxib, Naproxen)
- Intra-Articular Triamcinolone Acetonide & Methylprednisolone
- Postoperative Venous Thromboembolism (VTE) Prophylaxis (Apixaban, Rivaroxaban)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
204C00000X — Neuromusculoskeletal Medicine, Sports MedicinePlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Neuromusculoskeletal Medicine, Sports Medicine | State: CA | License: A68720 | Primary: Secondary |
204D00000X — Neuromusculoskeletal Medicine & OMMPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Neuromusculoskeletal Medicine & OMM | State: CA | License: A68720 | Primary: Secondary |
207XS0106X — Orthopaedic Surgery, Hand SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: CA | License: A68720 | Primary: Secondary |
207XS0114X — Orthopaedic Surgery, Adult Reconstructive Orthopaedic SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: CA | License: A68720 | Primary: Secondary |
207XS0117X — Orthopaedic Surgery, Orthopaedic Surgery of the SpinePlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: CA | License: A68720 | Primary: Secondary |
207XX0004X — Orthopaedic Surgery, Foot and Ankle SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: CA | License: A68720 | Primary: Secondary |
207XX0005X — Orthopaedic Surgery, Sports MedicinePlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: CA | License: A68720 | Primary: Secondary |
207XX0801X — Orthopaedic Surgery, Orthopaedic TraumaPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: CA | License: A68720 | Primary: Secondary |
208200000X — Plastic SurgeryPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery | State: CA | License: A68720 | Primary: Secondary |
2082S0099X — Plastic Surgery, Plastic Surgery Within the Head and NeckPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery — Plastic Surgery Within the Head & Neck | State: CA | License: A68720 | Primary: Secondary |
2082S0105X — Plastic Surgery, Surgery of the HandPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery — Surgery of the Hand | State: CA | License: A68720 | Primary: Secondary |
2086S0102X — Surgery, Surgical Critical CarePlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Surgical Critical Care | State: CA | License: A68720 | Primary: Secondary |
2086S0127X — Surgery, Trauma SurgeryPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Trauma Surgery | State: CA | License: A68720 | Primary: Secondary |
207X00000X — Orthopaedic SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: CA | License: A68720 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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