Active NPI
William Joseph Previte, D.O.
- Sports Medicine (Orthopaedic Surgery) Physician
- San Diego, CA
National Provider Identifier
1407904584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 20A005466
- Practice address
- 7525 Linda Vista Rd
Suite C
San Diego, CA 92111-5344 - Phone
- (858) 650-3030
- Fax
- (858) 650-3033
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 20A005466 | CA | Primary |
Addresses
Primary practice location
7525 Linda Vista Rd
Suite C
San Diego, CA 92111-5344
Mailing address
7525 Linda Vista Rd
Suite C
San Diego, CA 92111-5344
Phone (858) 650-3030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A005466 | CA | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The S.P.O.R.T. Institute Medical Group, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- San Diego, CA
- NPI 1902089204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313020800000",
"number": "1407904584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7525 LINDA VISTA RD",
"address_2": "SUITE C",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921115344",
"telephone_number": "858-650-3030",
"fax_number": "858-650-3033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7525 LINDA VISTA RD",
"address_2": "SUITE C",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921115344",
"telephone_number": "858-650-3030",
"fax_number": "858-650-3033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREVITE",
"first_name": "WILLIAM",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2011-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "CA",
"license": "20A005466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
- Alexander Nicholas Prevallet, DO
- Preventative Health for Happy Families
- Preventative Health for Happy Families Counseling Co
- Prevention Wellness and Restorative Solutions Physical Therapy Corp
- Preventive Women'S Health Care Medical Group, Inc
- Kimberly Prevost
- Jeremy Kyle Prewett
- Lauren Annette Prewitt, D.O.
- Rebecca Jean Preziosi, M.D.
- Lindsey Price-Torres
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.