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

The S.p.o.r.t. Institute Medical Group, Inc

Organization Specialist · NPI 1902089204

The S.p.o.r.t. Institute Medical Group, Inc is a Specialist in San Diego, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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

7525 Linda Vista Rd Ste C
San Diego, CA 92111
Phone: (858) 650-3030
Fax: (858) 650-3033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 20A5466 (CA)

Record details

NPI number1902089204
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Previte — Owner · (858) 650-3030
NPI enumeratedDecember 10, 2007
Last updated in NPPESAugust 11, 2011
Mailing address7525 Linda Vista Rd., Suite C, San Diego, CA 92111

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