Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Executive Medical & Surgical Assoc Inc

Organization Specialist · NPI 1609887322

Executive Medical & Surgical Assoc Inc is a Specialist in Colton, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

900 E Washington St Ste 200
Colton, CA 92324-4192
Phone: (909) 824-2422
Fax: (909) 824-8234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence A72267 (CA)

Record details

NPI number1609887322
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Darren Bergey — President · (909) 824-2422
NPI enumeratedAugust 10, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1040 S. Mt. Vernon Ave., G350, Colton, CA 92324

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