MDRS SPINE & SPORT, INC
NPI 1952394603
Clinic/Center - Multi-Specialty in San Diego, CA
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
Specialties & Licenses 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mdrs Spine & Sport, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
292Medicare enrollment records show 292 clinicians reassign Medicare billing to Mdrs Spine & Sport, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 47 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 292Source: 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 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.
Is Mdrs Spine & Sport, Inc enrolled in Medicare?
Yes. Mdrs Spine & Sport, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mdrs Spine & Sport, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 292 clinicians in 2 Medicare specialties reassign their Medicare billing to Mdrs Spine & Sport, Inc. 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 Physical Therapist in Private Practice (264) and Occupational Therapist in Private Practice (28). Of these, 1 practice at this address and 47 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 4 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.
# Mdrs Spine & Sport, Inc · NPI 1952394603
Multi-Specialty organization in San Diego, California. Organization record, active in the CMS NPPES registry since August 29, 2005.
## Identity
- **NPI:** 1952394603 (Entity type: Organization)
- **Enumerated:** August 29, 2005
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Angel Collado, CREDENTIALING OFFICER
## Practice location
- **Address:** 3707 CONVOY ST STE 100, San Diego, CA 92111-3754
- **Phone:** (858) 573-9368 · **Fax:** (858) 874-0582
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 292 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (264), Occupational Therapist in Private Practice (28); 1 practice at this address and 47 within 10 miles; [full list](https://npiprofile.com/npi/1952394603/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1952394603) · Data from the CMS NPPES public registry.