SPORTS MEDICINE AND ORTHOPAEDIC INSTITUTE
SPORTS MEDICINE AND ORTHOPAEDIC INSTITUTE is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1669993218, based in Victorville, CA. The organization lists 2 taxonomy classifications, with Adult Reconstructive Orthopaedic Surgery Physician recorded as primary.
Getting there
The practice address on file is 12490 BUSINESS CENTER DR STE 100, Victorville, CA 92395. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| A144350 | CA | Adult Reconstructive Orthopaedic Surgery… primary |
| A144350 | CA | Orthopaedic Surgery Physician |
This provider holds licence A144350 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 7911273180
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Adult Reconstructive Orthopaedic Surgery covers
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. NUCC Health Care Provider Taxonomy, code 207XS0114X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician Adult Reconstructive Orthopaedic Surgery | A144350 | CA | primary |
| 207X00000X | Orthopaedic Surgery Physician | A144350 | CA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1669993218 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jul 5, 2017 |
| Last updated | Feb 13, 2025 |
| Status | Active |
| Practice address |
12490 BUSINESS CENTER DR STE 100 Victorville, CA 92395 (760) 522-8585 Fax (760) 243-4276 |
| Mailing address |
17100B BEAR VALLEY RD # 283 Victorville, CA 92395 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 6 | 9 | 9 | 9 | 3 | 2 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 3 | 9 | 9 | 9 | 6 | 2 | 2 |
Sum = 72 · next multiple of 10 = 80 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.