SAN DIEGO SPINE & SPORT, INC
NPI 1063405637
Occupational Therapist - Ergonomics in Chula Vista, CA

Active since August 29, 2005
450 4TH AVE, #215, CHULA VISTA, CA 91910(619) 585-3745(619) 585-3746 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About San Diego Spine & Sport, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN DIEGO SPINE & SPORT, INC (NPI 1063405637), doing business as South Bay Spine & Sport, is a healthcare organization registered as an ergonomics in Chula Vista, California and active in the NPI registry since August 2005. The organization lists Vert Mooney, Owner, as its authorized official.

NPPES Registry Identity

NPI1063405637
Entity TypeOrganization
Primary Taxonomy225XE1200X
Legal Business NameSAN DIEGO SPINE & SPORT, INC
Location Address450 4TH AVE, #215Chula Vista, CA 91910-4426
Mailing Address450 4th Ave, #215Chula Vista, CA 91910-4426 · (619) 585-3745 · Fax (619) 585-3746
Fax(619) 585-3746
Organization SubpartNo
Authorized OfficialVert MooneyOwner · (858) 751-0900
Enumeration DateAugust 29, 2005
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1063405637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

Primary SpecialtyOccupational Therapist · ErgonomicsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XE1200X
Also ListedOccupational Therapy AssistantTaxonomy 224Z00000X
Also ListedOrthotic FitterTaxonomy 225000000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedPhysical Therapist · HandTaxonomy 2251H1200X
Also ListedPhysical Therapist · SportsTaxonomy 2251S0007X
Also ListedPhysical Therapy AssistantTaxonomy 225200000X
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedOccupational Therapist · HandTaxonomy 225XH1200X
450 4TH AVE, Chula Vista, CA 91910

Other Names 1

Doing Business AsSouth Bay Spine & Sport

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
450 4TH AVE, STE 303
CHULA VISTA, CA 91910
Podiatrist (Foot & Ankle Surgery)
450 4TH AVE, SUITE 401
CHULA VISTA, CA 91910
Podiatrist (Foot & Ankle Surgery)
450 4TH AVE, STE 401
CHULA VISTA, CA 91910
Specialist
450 4TH AVE, STE 303
CHULA VISTA, CA 91910
Neurological Surgery
450 4TH AVE, SUITE 405
CHULA VISTA, CA 91910
Nurse Practitioner (Psychiatric/Mental Health)
450 4TH AVE, SUITE 215
CHULA VISTA, CA 91910
Audiologist-Hearing Aid Fitter
450 4TH AVE, SUITE 306
CHULA VISTA, CA 91910
Hearing Instrument Specialist
450 4TH AVE, SUITE 200
CHULA VISTA, CA 91910

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is San Diego Spine & Sport, Inc's NPI number?

The NPI number for San Diego Spine & Sport, Inc is 1063405637. It was assigned to this organization in the NPPES registry on August 29, 2005.

Where is San Diego Spine & Sport, Inc located?

San Diego Spine & Sport, Inc is located at 450 4th Ave #215, Chula Vista, CA 91910. The listed phone number is (619) 585-3745.

What is San Diego Spine & Sport, Inc's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Ergonomics, with taxonomy code 225XE1200X.

When was this NPI record last updated?

The NPPES record for San Diego Spine & Sport, Inc was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.