Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Green Sports Medicine Inc

Organization Sports Medicine (Family Medicine) Physician · NPI 1366354029

Green Sports Medicine Inc provides Sports Medicine (Family Medicine) Physician services in Fresno, California. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7471 N Fresno St
Fresno, CA 93720-2457
Phone: (559) 813-3005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X
Orthopaedic Surgery of the Spine Physician Taxonomy 207XS0117X
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X

Record details

NPI number1366354029
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sonya Leal — Admin · (559) 387-5230
NPI enumeratedSeptember 18, 2026
Last updated in NPPESSeptember 18, 2026
Certification dateSeptember 18, 2026
Mailing address2021 Herndon Ave Ste 201, Clovis, CA 93611-6317

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