Green Sports Medicine Inc

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

Legal business name

GREEN SPORTS MEDICINE INC

Practice address

7471 N Fresno St
Fresno, CA 93720-2457

Phone

(559) 813-3005

NPI assigned

Sep 18, 2026

Organization subpart

No

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

Authorized official

Name

Sonya Leal

Title

Admin

Phone

(559) 387-5230

Specialties & licenses 3

Addresses

Tax ID family

Green Sports Medicine Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Green Sports Medicine Inc

  • Sports Medicine (Family Medicine) Physician
  • Clovis, CA
  • NPI 1396210563
  NPD tax ID

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

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1366354029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 HERNDON AVE STE 201",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116317",
            "telephone_number": "559-387-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7471 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202457",
            "telephone_number": "559-813-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN SPORTS MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "LEAL",
        "authorized_official_first_name": "SONYA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "559-387-5230"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Fresno Health Organization, Inc. (Cedar University Clinic)
• Greater Fresno Health Organization, Inc. (Kings Winery Medical Clinic)
• Greater Fresno Health Orgnization, Inc. (Kings Winery Medicla Clinic)
• Mandy Michelle Greaves, PHD, LMFT
• Robert E Greco, CO
• Adriel J Green, MD
• Alvin E Green, LCSW
• Anjanetta P Green, LCSW
• Brittany Green
• Ceasia Green

• Sports Medicine (Family Medicine) Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Sports Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.