GREEN SPORTS MEDICINE, INC.
NPI 1396210563
Family Medicine - Sports Medicine in Clovis, CA

Q: What is Green Sports Medicine Inc's NPI number?

The NPI number for Green Sports Medicine Inc is 1396210563. It was assigned to this organization in the NPPES registry on October 3, 2018. The provider is doing business as Green Sports Medicine, Inc..

Q: What is Green Sports Medicine Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Active since October 03, 2018CLIA 05D2190808 · Waiver

2021 HERNDON AVE STE 201, CLOVIS, CA 93611(559) 981-5566(559) 228-9989 Get Directions Write a Review

NPPES record last updated: November 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2019, Oct 29, 2019, Jan 3, 2019 and 1 more (4 updates tracked since 2018).

On this page

About Green Sports Medicine, Inc. NPPES

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

GREEN SPORTS MEDICINE, INC. (NPI 1396210563) is a healthcare organization registered as a sports medicine in Clovis, California and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through August 18, 2026 and lists Erick Green, Md, as its authorized official.

NPPES Registry Identity

NPI1396210563

Entity TypeOrganization

Primary Taxonomy207QS0010X

Legal Business NameGREEN SPORTS MEDICINE INC

Location Address2021 HERNDON AVE STE 201Clovis, CA 93611-6101

Mailing Address7471 N Fresno StFresno, CA 93720-2457 · (559) 981-5566 · Fax (559) 228-9989

Phone(559) 981-5566

Fax(559) 228-9989

Organization SubpartNo

Authorized OfficialErick GreenMd · (559) 813-3005

Enumeration DateOctober 3, 2018

Last NPPES UpdateNovember 18, 20194 updates tracked since enumeration

✔ NPI 1396210563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X

2021 HERNDON AVE STE 201, Clovis, CA 93611

Open in Google Maps ↗

Other Names 1

Doing Business AsGreen Sports Medicine, Inc.

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2190808

Green Sports Medicine Inc · Clovis, CA

Active · expires Aug 18, 2026

CLIA Number05D2190808

Laboratory TypePhysician Office

Certificate Effective DateAugust 19, 2024

Certificate Expiration DateAugust 18, 2026

Laboratory DirectorErick J. Green

Laboratory Phone(559) 813-3005

Laboratory LocationGreen Sports Medicine Inc2021 Herndon Ave Ste 201, Clovis, CA 93611

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

PREMIUM ALLERGY

Allergy & Immunology

2021 HERNDON AVE STE 201
CLOVIS, CA 93611

Fresno County (559) 494-4446

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 Green Sports Medicine Inc's NPI number?

The NPI number for Green Sports Medicine Inc is 1396210563. It was assigned to this organization in the NPPES registry on October 3, 2018. The provider is doing business as Green Sports Medicine, Inc..

Where is Green Sports Medicine Inc located?

Green Sports Medicine Inc is located at 2021 Herndon Ave Ste 201, Clovis, CA 93611. The listed phone number is (559) 981-5566.

What is Green Sports Medicine Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Does Green Sports Medicine Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2190808) is associated with this NPI, valid through August 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Green Sports Medicine Inc was last updated on November 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.