1. Home
  2. Directory
  3. California
  4. Victorville
  5. Orthopaedic Surgery
  6. NPI Profile

SPORTS MEDICINE AND ORTHOPAEDIC INSTITUTE
NPI 1669993218
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Victorville, CA

Active since July 05, 2017
12490 BUSINESS CENTER DR STE 100, VICTORVILLE, CA 92395(760) 522-8585(760) 243-4276 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 13, 2025, Sep 10, 2023, Nov 7, 2022 and 5 more (8 updates tracked since 2017).

About Sports Medicine And Orthopaedic Institute NPPES

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

SPORTS MEDICINE AND ORTHOPAEDIC INSTITUTE (NPI 1669993218), doing business as Premier Orthopaedic Trauma Specialists, Pmc, is a healthcare organization registered as an adult reconstructive orthopaedic surgery in Victorville, California and active in the NPI registry since July 2017. The organization maintains 10 additional practice locations and lists Samir Nayyar, President, as its authorized official.

NPPES Registry Identity

NPI1669993218
Entity TypeOrganization
Primary Taxonomy207XS0114X
Legal Business NameSPORTS MEDICINE AND ORTHOPAEDIC INSTITUTE
Location Address12490 BUSINESS CENTER DR STE 100Victorville, CA 92395-5833
Mailing Address17100b Bear Valley Rd # 283Victorville, CA 92395-5851 · (760) 552-8585 · Fax (760) 243-4276
Phone(760) 522-8585
Fax(760) 243-4276
Organization SubpartYesParent: Sports Medicine And Orthopaedic Institute, Inc.
Authorized OfficialSamir NayyarPresident · (760) 552-8585
Enumeration DateJuly 5, 2017
Last NPPES UpdateFebruary 13, 20258 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2025
✔ NPI 1669993218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License✔ Licensed in CA · A144350
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License A144350 (CA)
12490 BUSINESS CENTER DR STE 100, Victorville, CA 92395
Open in Google Maps ↗

Other Names 1

Doing Business AsPremier Orthopaedic Trauma Specialists, Pmc

Secondary Practice Locations 10

Location 1160 E Artesia St Ste 255Pomona, CA 91767-2921 · Phone (909) 596-4346
Location 2400 N Mountain Ave Ste 100Upland, CA 91786-5194 · Phone (909) 596-4346
Location 32140 Grand Ave Ste 120Chino Hills, CA 91709-6801 · Phone (909) 596-4346
Location 41770 N Orange Grove Ave Ste 210Pomona, CA 91767-3027 · Phone (760) 552-8585
Location 5400 N Mountain Ave Ste 310Upland, CA 91786-5182 · Phone (909) 596-4346
Location 61325 N Rose Dr Ste 210Placentia, CA 92870-3800 · Phone (909) 596-4346
Location 72150 N Waterman Ave Ste 303San Bernardino, CA 92404-4811 · Phone (760) 552-8585
Location 825915 Barton Rd Ste 203Loma Linda, CA 92354-3818 · Phone (760) 552-8585
Location 9264 N Highland Ave, Bld 3 Suite BBanning, CA 92220 · Phone (760) 552-8585
Location 101890 W Main St Ste 130Barstow, CA 92311-3726 · Phone (760) 552-8585

Group Practice 2

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sports Medicine And Orthopaedic Institute is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

38

Medicare enrollment records show 38 clinicians reassign Medicare billing to Sports Medicine And Orthopaedic Institute, which bills Medicare for the services they deliver. Of these, 6 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Orthopedic Surgery21
Physical Therapist in Private Practice4
Sports Medicine4
Hand Surgery3
Nurse Practitioner2
Occupational Therapist in Private Practice1
Physical Medicine and Rehabilitation1
Podiatry1
1 other specialty1

Nearest to this location (20)

See all 38
Erika Franco, NP
Nurse Practitioner
NPI 1285299628
12490 BUSINESS CENTER DR STE 100
Victorville, CA 92395
(760) 552-8585
✔ PECOS✔ Accepts MedicareSame address
Kunal Kalra, M.D.
Orthopedic Surgery
NPI 1205015468
12490 BUSINESS CENTER DR STE 100
Victorville, CA 92395
(760) 242-7777
✔ PECOS✔ Accepts MedicareSame address
Samir Nayyar, MD
Orthopedic Surgery
NPI 1063703270
12490 BUSINESS CENTER DR STE 100
Victorville, CA 92395
(760) 552-8585
✔ PECOS✔ Accepts MedicareSame address
David Surdyka, MD
Orthopedic Surgery
NPI 1356324461
12490 BUSINESS CENTER DR STE 100
Victorville, CA 92395
(760) 552-8585
✔ PECOS✔ Accepts MedicareSame address
Liisa Travis, NP
Nurse Practitioner
NPI 1780346072
12490 BUSINESS CENTER DR STE 100
Victorville, CA 92395
(760) 552-8585
✔ PECOS✔ Accepts MedicareSame address
Vikram Parmar, MD
Orthopedic Surgery
NPI 1154392116
12490 BUSINESS CENTER DR STE 100
Victorville, CA 92395
(909) 596-4344
✔ PECOS✔ Accepts MedicareSame address
Martin Morrison, M.D.
Orthopedic Surgery
NPI 1326206335
25455 BARTON RD SUITE 102B
Loma Linda, CA 92354
(909) 558-2808
✔ PECOS✔ Accepts Medicare30 mi
Jeffrey Seip, MD
Orthopedic Surgery
NPI 1275649782
57402 29 PALMS HWY STE 5
Yucca Valley, CA 92284
(760) 365-2520
✔ PECOS✔ Accepts Medicare31 mi
Sydnee Krattenmaker
Physical Therapist in Private Practice
NPI 1295689172
400 N MOUNTAIN AVE STE 3003
Upland, CA 91786
(909) 596-4346
✔ Accepts Medicare34 mi
Raymond Gonzalez Martinez
Occupational Therapist in Private Practice
NPI 1518841501
5350 OLIVE ST
Montclair, CA 91763
(909) 497-1900
✔ Accepts Medicare35 mi
Nicholas Hernandez
Physical Therapist in Private Practice
NPI 1043175391
2138 S WISTERIA CT
Ontario, CA 91761
(626) 824-6935
37 mi
James Atkins, DPT
Physical Therapist in Private Practice
NPI 1225700321
160 E ARTESIA ST STE 255
Pomona, CA 91767
(909) 596-4346
✔ Accepts Medicare38 mi
Brian Ballard
Preventive Medicine
NPI 1497218739
160 E ARTESIA ST STE 255
Pomona, CA 91767
(095) 964-3469
✔ PECOS✔ Accepts Medicare38 mi
Hrayr Basmajian, M.D., M.S.
Orthopedic Surgery
NPI 1982854626
160 E ARTESIA ST STE 255
Pomona, CA 91767
(909) 596-4346
✔ PECOS✔ Accepts Medicare38 mi
Joseph Liu, M.D.
Sports Medicine
NPI 1154689248
160 E ARTESIA ST STE 255
Pomona, CA 91767
(909) 596-4346
✔ PECOS✔ Accepts Medicare38 mi
Nirav Amin, M.D.
Sports Medicine
NPI 1477714665
1325 N ROSE DR STE 210
Placentia, CA 92870
(909) 596-4346
✔ PECOS✔ Accepts Medicare52 mi
Christopher Katcherian, MD
Hand Surgery
NPI 1316106685
16702 VALLEY VIEW AVE
La Mirada, CA 90638
(714) 367-5310
✔ PECOS59 mi
Barth Riedel, MD
Hand Surgery
NPI 1558574491
1200 N STATE ST GNH 3900
Los Angeles, CA 90033
(323) 226-8010
✔ PECOS✔ Accepts Medicare60 mi
Martina Randall
Podiatry
NPI 1104244243
500 E OLIVE AVE STE 840
Burbank, CA 91501
(213) 373-3246
✔ PECOS✔ Accepts Medicare62 mi
Pooja Chopra, MD
Physical Medicine and Rehabilitation
NPI 1881005817
22 CORPORATE PLAZA DR
Newport Beach, CA 92660
(949) 722-7038
✔ PECOS69 mi
See all 38 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sports Medicine And Orthopaedic Institute's NPI number?

The NPI number for Sports Medicine And Orthopaedic Institute is 1669993218. It was assigned to this organization in the NPPES registry on July 5, 2017. The provider is doing business as Premier Orthopaedic Trauma Specialists, Pmc.

Where is Sports Medicine And Orthopaedic Institute located?

Sports Medicine And Orthopaedic Institute is located at 12490 Business Center Dr Ste 100, Victorville, CA 92395. The listed phone number is (760) 522-8585.

What is Sports Medicine And Orthopaedic Institute's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Sports Medicine And Orthopaedic Institute enrolled in Medicare?

Yes. Sports Medicine And Orthopaedic Institute is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sports Medicine And Orthopaedic Institute?

According to the CMS Revalidation Reassignment List (October 2026 release), 38 clinicians in 9 Medicare specialties reassign their Medicare billing to Sports Medicine And Orthopaedic Institute. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Orthopedic Surgery (21), Physical Therapist in Private Practice (4) and Sports Medicine (4). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sports Medicine And Orthopaedic Institute was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.