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Santa Rosa Sports Medicine, Incorporated

Sports Medicine (Family Medicine) Physician in Santa Rosa, CA · enumerated 2008 · authorized official Ty Affleck, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1952555740

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Registry record

Entity type Organization (Type 2)
Legal business name Santa Rosa Sports Medicine, Incorporated
Other name <Unavail>
Practice address 1255 N Dutton Ave, Santa Rosa, CA, 95401
Phone (707) 546-9400
Fax (707) 546-9464
Enumeration date Nov 6, 2008
Last updated in NPPES Oct 13, 2014

Taxonomy & classification

207QS0010X Sports Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians · License G073843 (CA) Primary

Authorized official

Name Ty Affleck
Title President
Phone (707) 546-9400

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Santa Rosa Sports Medicine, Incorporated located?
The practice location on file with NPPES is in Santa Rosa, CA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-10-13. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-10-13.