THE S.P.O.R.T. INSTITUTE MEDICAL GROUP, INC.
NPI 1902089204
Specialist in San Diego, CA

Q: What is The S.P.O.R.T. Institute Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since December 10, 2007

7525 LINDA VISTA RD., SUITE C, SAN DIEGO, CA 92111(858) 650-3030(858) 650-3033 Get Directions Write a Review

NPPES record last updated: August 11, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About The S.p.o.r.t. Institute Medical Group, Inc. NPPES

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

THE S.P.O.R.T. INSTITUTE MEDICAL GROUP, INC. (NPI 1902089204) is a healthcare organization registered as a specialist in San Diego, California and active in the NPI registry since December 2007. The organization lists William Joseph Previte, Owner, as its authorized official.

NPPES Registry Identity

NPI1902089204

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameTHE S.P.O.R.T. INSTITUTE MEDICAL GROUP, INC.

Location Address7525 LINDA VISTA RD., SUITE CSan Diego, CA 92111

Mailing Address7525 Linda Vista Rd., Suite CSan Diego, CA 92111 · (858) 650-3030 · Fax (858) 650-3033

Phone(858) 650-3030

Fax(858) 650-3033

Organization SubpartNo

Authorized OfficialWilliam Joseph PreviteOwner · (858) 650-3030

Enumeration DateDecember 10, 2007

Last NPPES UpdateAugust 11, 2011

✔ NPI 1902089204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · 20A5466

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

7525 LINDA VISTA RD., San Diego, CA 92111

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Other Identifiers 1

Medicare PINW14295CA

Group Practice 1

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

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 The S.P.O.R.T. Institute Medical Group, Inc.'s NPI number?

The NPI number for The S.P.O.R.T. Institute Medical Group, Inc. is 1902089204. It was assigned to this organization in the NPPES registry on December 10, 2007.

Where is The S.P.O.R.T. Institute Medical Group, Inc. located?

The S.P.O.R.T. Institute Medical Group, Inc. is located at 7525 Linda Vista Rd. Suite C, San Diego, CA 92111. The listed phone number is (858) 650-3030.

What is The S.P.O.R.T. Institute Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for The S.P.O.R.T. Institute Medical Group, Inc. was last updated on August 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.