Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southwest Sports Medicine & Orthopaedic Surgery Clinic

Organization Orthopaedic Surgery Physician · NPI 1083940837

Southwest Sports Medicine & Orthopaedic Surgery Clinic is an Orthopaedic Surgery Physician in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2009.

Licensed in
AZ
In the registry since
2009

Practice location Address checks out

4566 E Inverness Rd Ste 101
Mesa, AZ 85206
Phone: (480) 763-5950
Fax: (480) 763-1375
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 3696 (AZ)

Record details

NPI number1083940837
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouthwest Sports Medicine & Orthopaedic Surgery Clinic
Authorized official Angelo Mattalino — Owner · (480) 860-2618
NPI enumeratedOctober 29, 2009
Last updated in NPPESOctober 29, 2009
Mailing address8129 N. 87th Place, Scottsdale, AZ 85258

Other providers in Mesa