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Export Provider Record NPI 1356869119
San Diego Sports Medicine & Orthopaedic Center Inc.
Organization Subpart: NO
Active
NPI Number1356869119
NPI TypeNPI-2 Organization
SpecialtyOrthopaedic Surgery
Provider Details
NPI1356869119
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2017-08-31
Last Updated2019-09-09
Authorized OfficialLisa Sullivan
Administrator
Phone: 6192293932
Mailing Address6719 Alvarado Rd Ste 200
San Diego, CA 92120-5256
United States
Phone: (619) 229-3932 | Fax: (619) 582-2860
📍 View Map
Primary Practice Address6719 Alvarado Rd Ste 200
San Diego, CA 92120-5256
United States
Phone: (619) 229-3932 | Fax: (619) 582-2860
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207X00000X – Orthopaedic Surgery--
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About NPI 1356869119

San Diego Sports Medicine & Orthopaedic Center Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1356869119. The primary specialty listed is Orthopaedic Surgery. The organization is located in San Diego, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2017-08-31. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1356869119?

NPI 1356869119 belongs to San Diego Sports Medicine & Orthopaedic Center Inc., a Orthopaedic Surgery in San Diego, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1356869119 active?

The current status of NPI 1356869119 in the NPPES registry is Active. The record was last updated on 2019-09-09.

What specialty is NPI 1356869119?

NPI 1356869119 is classified under the taxonomy Orthopaedic Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1356869119?

You can verify NPI 1356869119 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1356869119?

The primary practice address on file for NPI 1356869119 is 6719 Alvarado Rd Ste 200, San Diego, CA 92120-5256. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1356869119 issued?

NPI 1356869119 was first issued (enumerated) on 2017-08-31. The NPPES record was last updated on 2019-09-09.

Practice Location Map

San Diego Sports Medicine & Orthopaedic Center Inc. is located at 6719 Alvarado Rd Ste 200, San Diego, CA. Use the map below to find directions or verify the practice location.

📍 6719 Alvarado Rd Ste 200, San Diego, CA 92120-5256  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as San Diego Sports Medicine & Orthopaedic Center Inc.. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-08-16 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162