OrganizationActive
Performance Sports and Family Medicine
NPI 1215381728 · Primary Care Clinic/Center · San Diego, CA
Provider details
- NPI number
- 1215381728
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Andrew Saleh, Ceo(310) 925-1826
- License
- A135553 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1277 Kettner Blvd Unit 311
San Diego, CA 92101-3381
Phone: (310) 925-1826
Street-level locationGet directions
Mailing address
1277 Kettner Blvd Unit 311
San Diego, CA 92101-3381
Registry dates
- Enumerated
- 2016-04-20
- Last updated
- 2016-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.