# ADVANCED ORTHOPEDIC SPECIALISTS MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679656649
- **Authorized official:** ROBERT M. FAY M.D. (PRESIDENT)
- **Authorized official phone:** (760) 485-7402

## Contact information

- **Practice address:** 720 N NORMA ST, SUITE A AND B, RIDGECREST, CA 93555-3553
- **Practice address phone:** (760) 485-7402
- **Practice address fax:** (760) 771-4183
- **Mailing address:** PO BOX 839, LA QUINTA, CA 92247-0839
- **Mailing address phone:** (760) 485-7402
- **Mailing address fax:** (760) 771-4183

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | A68720 | CA | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | A68720 | CA | — |
| 207X00000X | Orthopaedic Surgery Physician | A68720 | CA | Yes |
| 207XS0106X | Orthopaedic Hand Surgery Physician | A68720 | CA | — |
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician | A68720 | CA | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | A68720 | CA | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | A68720 | CA | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | A68720 | CA | — |
| 207XX0801X | Orthopaedic Trauma Physician | A68720 | CA | — |
| 208200000X | Plastic Surgery Physician | A68720 | CA | — |
| 2082S0099X | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | A68720 | CA | — |
| 2082S0105X | Surgery of the Hand (Plastic Surgery) Physician | A68720 | CA | — |
| 2086S0102X | Surgical Critical Care Physician | A68720 | CA | — |
| 2086S0127X | Trauma Surgery Physician | A68720 | CA | — |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A68720 | MEDICAL LICENSE | CA |