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

Executive Medical & Surgical Associates Inc

Organization Specialist · NPI 1144775016

Executive Medical & Surgical Associates Inc is a Specialist in Colton, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
Specialties on file
4
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 300
Colton, CA 92324-8182
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)
Specialist Taxonomy 174400000X · Licence A89036 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA21389 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA 52156 (CA)

Record details

NPI number1144775016
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cheryl Bergey — Office Manager · (909) 824-2422
Other names Bergey Spine Institute
NPI enumeratedAugust 22, 2016
Last updated in NPPESAugust 22, 2016
Mailing address81880 Doctor Carreon Blvd Ste C212, Indio, CA 92201-5519

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