SPORTS MEDICINE AND ORTHOPAEDIC INSTITUTE (NPI# 1669993218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669993218 |
| Entity Type | Organization |
| Organization Name | SPORTS MEDICINE AND ORTHOPAEDIC INSTITUTE |
| Other Organization Name | SAMIR NAYYAR, MD |
| Practice Address |
13010 Hesperia Rd Ste 600 Victorville CA 92395-8321 |
| Practice Telephone | (760) 522-8585 |
| Practice Fax Number | 7602434276 |
| Mailing Telephone | 7605528585 |
| Mailing Fax Number | 7602434276 |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2017-10-31 |
| Authorized Official Name | DR. SAMIR NAYYAR (PRESIDENT) |
| Authorized Official Telephone | 7605528585 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | SPORTS MEDICINE AND ORTHOPAEDIC INSTITUTE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | A144350 | CA | Allopathic & Osteopathic Physicians |
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
A144350 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Samir Nayyar, MD | Other Name - Individual/Organization |
| Street Address |
13010 HESPERIA RD STE 600 |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92395-8321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205015468 | Kunal P Kalra | Orthopaedic Surgery | 13010 Hesperia Rd Ste 600, Victorville, CA 92395-8321 | 2007-10-24 |
| 1063703270 | Samir Nayyar | Orthopaedic Surgery | 13010 Hesperia Rd Ste 600, Victorville, CA 92395-8321 | 2011-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1376179093 | Catherine Ward | Speech-Language Pathologist | 13275 Mauka Ct, Victorville, CA 92395 | 2020-03-13 |
| 1174019228 | Laura Mercado Halterman | Family Medicine | 16519 Victor St Ste 307, Victorville, CA 92395 | 2018-07-02 |
| 1306337829 | Stephanie Ann Kruger | Behavior Technician | Sunny Days Inc 3602 Inland Empire Blvd., Ontario, CA 92395 | 2018-05-21 |
| 1861903924 | Debra L Andersen | Clinic/Center | 12830 Hesperia Road, Suite C, D, E, Victorville, CALIFORNIA 92395 | 2017-10-17 |
| 1790202141 | Joshua Powers | Physician Assistant | 12550 Hesperia Rd Ste 101, Victorville, CA 92395 | 2017-08-26 |
| 1043759491 | Kemp Individual & Family Therapy, Inc. | Marriage & Family Therapist | 14075 Hesperia Road, Suite 101, Victorville, CA 92395 | 2017-02-17 |
| 1740725969 | Abem Transportation Inc | Non-emergency Medical Transport (VAN) | 15000 7th St Ste F208, Victorville, CA 92395 | 2016-12-23 |
| 1447669379 | Tracie Girard | Nurse Practitioner | 17330 Bear Valley Road, Suite A106, Victorville, CA 92395 | 2014-08-05 |
| 1093153215 | Mitesh Patel | Surgery | 13010 Hesperia Rd Ste 400, Victorville, CA 92395 | 2013-06-10 |
| Find all providers in zip 92395 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316440563 | California Integrated Surgeons, Medical Corporation | Orthopaedic Surgery | 2750 Rohrer Dr, Lafayette, CA 94549-5753 | 2018-03-14 |
| 1457875023 | Adnan Cutuk, M.d. Inc. | Orthopaedic Surgery | 300 S Pierce St Ste 202, El Cajon, CA 92020-4124 | 2017-07-26 |
| 1932526555 | Mark Greenspan | Orthopaedic Surgery | 4955 Van Nuys Blvd Ste 704, Sherman Oaks, CA 91403-1819 | 2014-03-20 |
| 1548527864 | Philip Kiplinger | Orthopaedic Surgery | 19459 Shasta Rd, Apple Valley, CA 92307-4726 | 2012-04-12 |
| 1962778597 | Zachary Lum | Orthopaedic Surgery | Uc Davis Health - Department of Orthopaedic Surgery, 4860 Y Street, Suite 1700, Sacramento, CA 95817 | 2012-03-28 |
| 1508165721 | Michael Pitta | Orthopaedic Surgery | 12 Upper Ragsdale Dr Ste A, Monterey, CA 93940-5730 | 2011-03-28 |
| 1255638151 | Pier Francesco Indelli | Orthopaedic Surgery | 6841 Tunbridge Way, San Jose, CA 95120-2145 | 2011-02-12 |
| 1942510441 | Dilip Tapadiya M.d. Inc | Orthopaedic Surgery | 11170 Warner Ave Suite106, Fountain Valley, CA 92708 | 2010-10-18 |
| 1578886487 | Ricardo Alberto Moncho | Orthopaedic Surgery | 1417 Rutherford Dr, Pasadena, CA 91103-2775 | 2010-03-05 |
| 1598905382 | William Long, Md | Orthopaedic Surgery | 637 S. Lucas Ave. 1st Fl., Los Angeles, CA 90017 | 2009-03-06 |
| Find all providers with the same taxonomy | ||||
| City | VICTORVILLE |
| Zip Code | 92395 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.