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MDRS SPINE & SPORT, INC
NPI 1952394603
Clinic/Center - Multi-Specialty in San Diego, CA

Active since August 29, 2005
3707 CONVOY ST STE 100, SAN DIEGO, CA 92111(858) 573-9368(858) 874-0582 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mdrs Spine & Sport, Inc NPPES

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

MDRS SPINE & SPORT, INC (NPI 1952394603) is a healthcare organization registered as a multi-specialty in San Diego, California and active in the NPI registry since August 2005. The organization lists Angel Collado, Credentialing Officer, as its authorized official.

NPPES Registry Identity

NPI1952394603
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMDRS SPINE & SPORT, INC
Location Address3707 CONVOY ST STE 100San Diego, CA 92111-3754
Mailing AddressPo Box 515746Los Angeles, CA 90051-5120 · (888) 208-8526 · Fax (858) 751-0901
Phone(858) 573-9368
Fax(858) 874-0582
Organization SubpartNo
Authorized OfficialAngel ColladoCredentialing Officer · (858) 264-1417
Enumeration DateAugust 29, 2005
Last NPPES UpdateJuly 8, 2026
NPPES CertifiedJuly 8, 2026
✔ NPI 1952394603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedOccupational TherapistTaxonomy 225X00000X
3707 CONVOY ST STE 100, San Diego, CA 92111
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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 MULTIPLE 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 Mdrs Spine & Sport, Inc's NPI number?

The NPI number for Mdrs Spine & Sport, Inc is 1952394603. It was assigned to this organization in the NPPES registry on August 29, 2005.

Where is Mdrs Spine & Sport, Inc located?

Mdrs Spine & Sport, Inc is located at 3707 Convoy St Ste 100, San Diego, CA 92111. The listed phone number is (858) 573-9368.

What is Mdrs Spine & Sport, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Mdrs Spine & Sport, Inc was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.