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

Sacramento Orthopedic Sports & Shoulder

Organization Orthopaedic Surgery Physician · NPI 1558054791

Sacramento Orthopedic Sports & Shoulder is an Orthopaedic Surgery Physician in Sacramento, California. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

2801 K St Ste 330
Sacramento, CA 95816-5119
Phone: (414) 807-0645
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X
Orthopaedic Surgery Physician Taxonomy 207X00000X

Record details

NPI number1558054791
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Greg Takenishi — Chief Excecutive Officer · (414) 807-0645
NPI enumeratedJune 1, 2023
Last updated in NPPESJune 1, 2023
Certification dateJune 1, 2023
Mailing address2801 K St Ste 330, Sacramento, CA 95816-5119

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