SANTA ROSA SPORTS AND FAMILY MEDICINE - NPI 1952555740

Q: What is Santa Rosa Sports Medicine, Incorporated's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

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About Santa Rosa Sports And Family Medicine NPPES

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

SANTA ROSA SPORTS AND FAMILY MEDICINE (NPI 1952555740) is a healthcare organization registered as a sports medicine in Santa Rosa, California and active in the NPI registry since November 2008. The organization lists Ty Preston Affleck, President, as its authorized official.

NPPES Registry Identity

NPI1952555740

Entity TypeOrganization

Primary Taxonomy207QS0010X

Legal Business NameSANTA ROSA SPORTS MEDICINE, INCORPORATED

Location Address1255 N DUTTON AVESanta Rosa, CA 95401-4663

Mailing Address1255 N Dutton AveSanta Rosa, CA 95401-4663 · (707) 546-9400 · Fax (707) 546-9464

Phone(707) 546-9400

Fax(707) 546-9464

Organization SubpartNo

Authorized OfficialTy Preston AffleckPresident · (707) 546-9400

Enumeration DateNovember 6, 2008

Last NPPES UpdateOctober 13, 2014

✔ NPI 1952555740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in CA · G073843

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

1255 N DUTTON AVE, Santa Rosa, CA 95401

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Other Names 1

Other NameSanta Rosa Sports And Family Medicine

Other Identifiers 1

Medicare PINBG316CA

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

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.

MR. TY PRESTON AFFLECK MD

Family Medicine (Sports Medicine)