Organization · Type 2 NPI

Sports Medicine and Orthopaedic Institute

Adult Reconstructive Orthopaedic Surgery Physician · Victorville, CA

NPI number 1669993218 Active

Practice location

12490 Business Center Dr Ste 100
Victorville, CA 92395-5833

Call (760) 522-8585 Map

Fax (760) 243-4276

Mailing address

17100B Bear Valley Rd # 283
Victorville, CA 92395-5851

Other practice locations

160 E Artesia St Ste 255, Pomona, CA 91767-2921 · (909) 596-4346
400 N Mountain Ave Ste 100, Upland, CA 91786-5194 · (909) 596-4346
2140 Grand Ave Ste 120, Chino Hills, CA 91709-6801 · (909) 596-4346
1770 N Orange Grove Ave Ste 210, Pomona, CA 91767-3027 · (760) 552-8585
400 N Mountain Ave Ste 310, Upland, CA 91786-5182 · (909) 596-4346
1325 N Rose Dr Ste 210, Placentia, CA 92870-3800 · (909) 596-4346
2150 N Waterman Ave Ste 303, San Bernardino, CA 92404-4811 · (760) 552-8585
25915 Barton Rd Ste 203, Loma Linda, CA 92354-3818 · (760) 552-8585
264 N Highland Ave, Bld 3 Suite B, Banning, CA 92220 · (760) 552-8585
1890 W Main St Ste 130, Barstow, CA 92311-3726 · (760) 552-8585

Specialties and licenses

Taxonomy	Code	License
Orthopaedic Surgery Physician	207X00000X	A144350 (CA)
Adult Reconstructive Orthopaedic Surgery Physician Primary	207XS0114X	A144350 (CA)

Adult Reconstructive Orthopaedic Surgery Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

6 other providers at this address

NPI record

NPI: 1669993218
Entity type: Organization (Type 2)
Issued: Jul 5, 2017
Last updated: Feb 13, 2025
Status: Active
Subpart: Yes of Sports Medicine and Orthopaedic Institute, Inc.

Other names

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Premier Orthopaedic Trauma Specialists, PMC · doing business as
Premier Orthopaedic Trauma Specialists, PMC · doing business as

Authorized official

Dr. Samir Nayyar, MD
President
(760) 552-8585

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1669993218

Sports Medicine and Orthopaedic Institute's National Provider Identifier is 1669993218, issued on Jul 5, 2017. The primary taxonomy on file is Adult Reconstructive Orthopaedic Surgery Physician (207XS0114X), and the practice location is in Victorville, CA. The record was last updated on Feb 13, 2025.