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

Q: 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.

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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

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Other Names 1

Doing Business AsPremier Orthopaedic Trauma Specialists, Pmc

Secondary Practice Locations 10

Location 11325 N Rose Dr Ste 210Placentia, CA 92870-3800 · Phone (909) 596-4346

Location 22150 N Waterman Ave Ste 303San Bernardino, CA 92404-4811 · Phone (760) 552-8585

Location 31890 W Main St Ste 130Barstow, CA 92311-3726 · Phone (760) 552-8585

Location 425915 Barton Rd Ste 203Loma Linda, CA 92354-3818 · Phone (760) 552-8585

Location 5264 N Highland Ave, Bld 3 Suite BBanning, CA 92220 · Phone (760) 552-8585

Location 6400 N Mountain Ave Ste 310Upland, CA 91786-5182 · Phone (909) 596-4346

Location 7160 E Artesia St Ste 255Pomona, CA 91767-2921 · Phone (909) 596-4346

Location 81770 N Orange Grove Ave Ste 210Pomona, CA 91767-3027 · Phone (760) 552-8585

Location 92140 Grand Ave Ste 120Chino Hills, CA 91709-6801 · Phone (909) 596-4346

Location 10400 N Mountain Ave Ste 100Upland, CA 91786-5194 · Phone (909) 596-4346

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

Other Providers at the Same Location NPPES 6

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

DR. SAMIR NAYYAR MD

Orthopaedic Surgery