Provider Type Icon

ADVANCED CENTER FOR SPORTS & MUSCULOSKELETAL MEDICINE INC NPI 1376186940


NPI Information

NPI: 1376186940
Provider Name: ADVANCED CENTER FOR SPORTS & MUSCULOSKELETAL MEDICINE INC
Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
Entity Type: Organization
Address:
665 CAMINO DE LOS MARES STE 305
SAN CLEMENTE, CA
ZIP 92673
Phone: (949) 388-1060
Get Directions

ADVANCED CENTER FOR SPORTS & MUSCULOSKELETAL MEDICINE INC is a neuromusculoskeletal medicine sports medicine in San Clemente, CA. The provider is 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. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/ ADVANCED CENTER FOR SPORTS & MUSCULOSKELETAL MEDICINE INC NPI is 1376186940. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

665 CAMINO DE LOS MARES STE 305
SAN CLEMENTE, CA
ZIP 92673-841
Phone: (949) 388-1060
Fax: (855) 523-0512

The provider's authorized official is Eric Sickinger .
The authorized official title is Physician/owner and has the following contact phone number (760) 636-1067.

The enumeration date for this NPI number is 10/25/2019 and was last updated on 4/7/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204C00000XNeuromusculoskeletal Medicine, Sports MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.