NPI
Folsom Family and Sports Medical Group Inc.
Phone (916) 941-7362 · Fax (866) 779-3899 · NPI 1629372073
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2010-12-28
- Last updated
- 2024-12-31
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Specialties
Licenses
- License CA
- A64163
Location
- Practice location
- 2545 E Bidwell St Ste 110
- City
- Folsom CA
- Postal code
- 95630-6443
- Phone
- (916) 941-7362
- Fax
- (866) 779-3899
Organization contact
- Name
- Melanie Miller
- Title
- Manager
- Phone
- (916) 365-3431
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Family Medicine Doctors in Folsom, CA. 73 with this primary taxonomy in the public file.
Other NPIs in Folsom, CA. 2,336 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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