ADVANCED CENTER FOR SPORTS & MUSCULOSKELETAL MEDICINE INC – NPI #1376186940
Neuromusculoskeletal Medicine, Sports Medicine

A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Health Care Provider Taxonomy Code for Neuromusculoskeletal Medicine, Sports Medicine

ADVANCED CENTER FOR SPORTS & MUSCULOSKELETAL MEDICINE INC is a provider located in SAN CLEMENTE, CA. NPPES has assigned the NPI number 1376186940 to ADVANCED CENTER FOR SPORTS & MUSCULOSKELETAL MEDICINE INC on October 25, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 204C00000X from the Health Care Provider Taxonomy code set, which is classified as Neuromusculoskeletal Medicine, Sports Medicine.

The NPI profile was previously updated about 6 years ago on Apr 07, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED CENTER FOR SPORTS & MUSCULOSKELETAL MEDICINE INC below.

NPI Profile for
ADVANCED CENTER FOR SPORTS & MUSCULOSKELETAL MEDICINE INC

NPI Number
1376186940
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCED CENTER FOR SPORTS & MUSCULOSKELETAL MEDICINE INC
Primary location
665 CAMINO DE LOS MARES STE 305
SAN CLEMENTE, CA 92673-2841
Phone: (949) 388-1060 Fax: (855) 523-0512
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ERIC SICKINGER
PHYSICIAN/OWNER
Phone: (760) 636-1067
Updated
Certification Date
Apr 07, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204C00000X
- Neuromusculoskeletal Medicine, Sports Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.