Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Folsom Family and Sports Medical Group Inc

Organization Family Medicine Physician · NPI 1629372073

Folsom Family and Sports Medical Group Inc is a Family Medicine Physician in Folsom, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2545 E Bidwell St Ste 110
Folsom, CA 95630-6443
Phone: (916) 941-7362
Fax: (866) 779-3899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A64163 (CA)
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1629372073
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melanie Miller — Manager · (916) 365-3431
NPI enumeratedDecember 28, 2010
Last updated in NPPESDecember 31, 2024
Certification dateDecember 31, 2024
Mailing address2545 E Bidwell St Ste 110, Folsom, CA 95630-6443

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