Advanced Center for Sports & Musculoskeletal Medicine Inc

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

20A13043 Issued in CA

Legal business name

ADVANCED CENTER FOR SPORTS & MUSCULOSKELETAL MEDICINE INC

Practice address

41990 Cook St # F1006
Palm Desert, CA 92211-6100

Phone

(760) 636-1067

Fax

(760) 568-9331

NPI assigned

Apr 13, 2016

Last updated

Sep 30, 2026By 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

Katherin G.S. Hayes

Title

Am

Phone

(619) 204-8992

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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.

• Joey Robert Gee, DO

  • Neurology Physician
  • San Clemente, CA
  • NPI 1710058698
  Medicare reassignment Care Compare group NPD
• Eric Sickinger, D.O.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • San Clemente, CA
  • NPI 1215367792

  Neuromusculoskeletal Medicine, Sports Medicine

  Medicare reassignment Care Compare group NPD
• Melissa Marie Burman, MD

  • Sports Medicine (Internal Medicine) Physician
  • San Diego, CA
  • NPI 1881198166
  Medicare reassignment NPD
• Changhyun Kim, M.D.

  • Dermatology Physician
  • Palm Desert, CA
  • NPI 1285016113
  NPD (past)

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1376907535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41990 COOK ST # F1006",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116100",
            "telephone_number": "760-636-1067",
            "fax_number": "760-568-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41990 COOK ST # F1006",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116100",
            "telephone_number": "760-636-1067",
            "fax_number": "760-568-9331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "665 Camino De Los Mares Ste 305",
            "address_purpose": "LOCATION",
            "city": "San Clemente",
            "state": "CA",
            "postal_code": "926732841",
            "country_code": "US",
            "telephone_number": "949-388-1060",
            "fax_number": "855-523-0512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22342 Avenida Empresa Ste 195",
            "address_purpose": "LOCATION",
            "city": "Rancho Santa Margarita",
            "state": "CA",
            "postal_code": "926882152",
            "country_code": "US",
            "telephone_number": "949-858-7001",
            "fax_number": "855-523-0512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED CENTER FOR SPORTS & MUSCULOSKELETAL MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "KATHERIN",
        "authorized_official_middle_name": "G.S.",
        "authorized_official_title_or_position": "AM",
        "authorized_official_telephone_number": "619-204-8992"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "CA",
            "license": "20A13043",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adaobi Maureen Adimorah
• Adishian Dental Corporation
• Breanna Adkins-Horn
• Don Allen Adkins, O.D.
• Laura Elaine Adler, M.D.
• Advanced Family Health Care
• Advanced Institute of Dermatology, Inc
• Advanced Mep Systems Inc.
• Advanced Women's Healthcare, a Medical Corporation
• Crystabel Afwireng

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.