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

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7525 Linda Vista Rd Ste C
San Diego, CA 92111 Not confirmed with CMS for 15 years — call before visiting
Phone: (858) 650-3030
Fax: (858) 650-3033
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Other providers in San Diego