Primary Care Sports Medicine A Medical Corporation
NPI 1134274418ActiveOrganization· Family Medicine, Sports Medicine· Agoura Hills, CA
Family Medicine, Sports Medicine in Agoura Hills, California, registered in NPPES in January 2007. The authorized official on file is Byron Patterson, MD, Owner. Enrolled in Medicare as dme supplier - physician - orthopedic/orthopedic surgery and part b supplier - clinic/group practice.
Overview
| NPI | 1134274418 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 24, 2007 |
| Last updated in NPPES | Feb 19, 2026 |
| Certified by provider | Feb 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Sports Medicine Primary | 207QS0010X | A62510 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Orthopedic/Orthopedic Surgery (CA); Part B Supplier - Clinic/Group Practice (CA) |
|---|
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