De Anza Orthopedic Medical Group, Inc.
NPI 1255762340ActiveOrganization· Orthopaedic Surgery· Moreno Valley, CA
Orthopaedic Surgery in Moreno Valley, California, registered in NPPES in November 2013. The authorized official on file is Wade Faerber, DO, Director. Enrolled in Medicare as dme supplier - physician - orthopedic/orthopedic surgery and part b supplier - clinic/group practice.
Overview
| NPI | 1255762340 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 27, 2013 |
| Last updated in NPPES | Jun 26, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Orthopedic/Orthopedic Surgery (CA); Part B Supplier - Clinic/Group Practice (CA) |
|---|
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