Organization · Type 2 NPI

Headquarters Medical Group PA

Sports Medicine (Family Medicine) Physician · San Francisco, CA

NPI number 1326919655 Active

Practice location

1417 15th St
San Francisco, CA 94103-3623

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Family Medicine) Physician Primary 207QS0010XNone listed
Pediatric Sports Medicine Physician 2080S0010XNone listed
Physical Medicine & Rehabilitation Physician 208100000XNone listed
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician 2081P0301XNone listed
Neurology Physician 2084N0400XNone listed
Brain Injury Medicine (Psychiatry & Neurology) Physician 2084P0301XNone listed
Physical Therapist 225100000XNone listed
Primary Care Nurse Practitioner 363LP2300XNone listed

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

2 other providers at this address

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About NPI 1326919655

Headquarters Medical Group PA's National Provider Identifier is 1326919655, issued on Sep 17, 2025. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in San Francisco, CA. The record was last updated on Sep 10, 2026.