Avanti Sports Medicine & Fitness

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

A85402 Issued in CA

Legal business name

AVANTI SPORTS MEDICINE & FITNESS

Practice address

175 N Redwood Dr
Suite 275
San Rafael, CA 94903-1972

Phone

(800) 704-0028

NPI assigned

Apr 29, 2016

Last updated

Apr 29, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sonia D Bell, MDNPI 1922138528

Title

President

Phone

(415) 363-0466

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sonia Denise Bell, MD

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • San Francisco, CA
  • NPI 1922138528
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1275988040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 BRANNAN ST",
            "address_2": "SUITE A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941074030",
            "telephone_number": "415-363-0466",
            "fax_number": "415-859-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N REDWOOD DR",
            "address_2": "SUITE 275",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031972",
            "telephone_number": "800-704-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANTI SPORTS MEDICINE & FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-363-0466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CA",
            "license": "A85402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1922138528",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Jenkins Austin, NP RN CNM
• Symil Austin
• Autistry Studios
• Zuleima Avalos-Genchi
• Jessica G Avalos
• Sharon Elaine Avdic, PHARM D
• Claudia Awamleh, FNP
• Alexis Megan Axt
• Kathleen Marie Ayers, PSY D
• Yeonbi Aylward, PHARMD

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.