OrganizationActive
Puri Orthopedic Center, Inc.
NPI 1366467904 · Orthopaedic Surgery of the Spine Physician · Victorville, CA
Provider details
- NPI number
- 1366467904
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Leata Moore, Billing Manager(760) 243-0464
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Orthopedic Physical Therapist2251X0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12830 Hesperia Road, Suite a
Victorville, CA 92395-7788
Phone: (760) 243-7715
Fax: (760) 243-5442
Street-level locationGet directions
Mailing address
12830 Hesperia Road, Suite a
Victorville, CA 92395-7788
Registry dates
- Enumerated
- 2006-07-13
- Last updated
- 2014-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.