NPIMap

Organization Active NPI

Primary Care Sports Medicine a Medical Corporation

  • Sports Medicine (Family Medicine) Physician
  • Agoura Hills, CA
National Provider Identifier
1841977253
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
PRIMARY CARE SPORTS MEDICINE A MEDICAL CORPORATION
Doing business as
Primary Care Sports Medicine a Medical Corporation
Practice address
29229 Canwood St Ste 112
Agoura Hills, CA 91301-1561
Phone
(818) 501-7276
Fax
(818) 501-7288
NPI assigned
Jun 28, 2023
Last updated
Feb 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Authorized official

Name
Byron PattersonNPI 1700859691
Title
Ceo
Phone
(818) 501-7276

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X NU Primary

Addresses

Primary practice location

29229 Canwood St Ste 112
Agoura Hills, CA 91301-1561

Mailing address

29229 Canwood St Ste 112
Agoura Hills, CA 91301-1561
Phone (818) 501-7276

Other names 1

  • Primary Care Sports Medicine a Medical Corporation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230919001792 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 2365488723 Practice locations: Agoura Hills, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

29229 Canwood St
#112
Agoura Hills, CA 91301
Phone (818) 501-7276

29525 Canwood St
Ste 203
Agoura Hills, CA 91301
Phone (818) 501-7276

29525 Canwood St
Ste 211
Agoura Hills, CA 91301
Phone (818) 501-7276

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1841977253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29229 CANWOOD ST STE 112",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913011561",
            "telephone_number": "818-501-7276",
            "fax_number": "818-921-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29229 CANWOOD ST STE 112",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913011561",
            "telephone_number": "818-501-7276",
            "fax_number": "818-501-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE SPORTS MEDICINE A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "BYRON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-501-7276"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Care Sports Medicine a Medical Corporation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Primary Care Sports Medicine a Medical Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.