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FIT ATHLETIC CLUB SAN DIEGO LLC
NPI 1073047593
General Practice in San Diego, CA

Active since April 12, 2017
350 10TH AVE, SAN DIEGO, CA 92101(619) 764-5348 Get Directions Write a Review

NPPES record last updated: April 12, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fit Athletic Club San Diego Llc NPPES

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

FIT ATHLETIC CLUB SAN DIEGO LLC (NPI 1073047593) is a healthcare organization registered as a general practice in San Diego, California and active in the NPI registry since April 2017. The organization lists Chad Shaw, General Manager, as its authorized official.

NPPES Registry Identity

NPI1073047593
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameFIT ATHLETIC CLUB SAN DIEGO LLC
Location Address350 10TH AVESan Diego, CA 92101-7496
Mailing Address350 10th AveSan Diego, CA 92101-7496 · (619) 764-5348
Phone(619) 764-5348
Organization SubpartNo
Authorized OfficialChad ShawGeneral Manager · (858) 675-4480
Enumeration DateApril 12, 2017
✔ NPI 1073047593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

350 10TH AVE, San Diego, CA 92101
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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

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

JACKSON REISS
Physical Therapist
350 10TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 764-5348

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 Fit Athletic Club San Diego LLC's NPI number?

The NPI number for Fit Athletic Club San Diego LLC is 1073047593. It was assigned to this organization in the NPPES registry on April 12, 2017.

Where is Fit Athletic Club San Diego LLC located?

Fit Athletic Club San Diego LLC is located at 350 10th Ave, San Diego, CA 92101. The listed phone number is (619) 764-5348.

What is Fit Athletic Club San Diego LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Fit Athletic Club San Diego LLC was last updated on April 12, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.