Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Folsom Family and Sports Medical Group Inc

Organization Family Medicine Physician · NPI 1629372073

Folsom Family and Sports Medical Group Inc provides Family Medicine Physician services 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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2545 E Bidwell St Ste 110
Folsom, CA 95630-6443
Phone: (916) 941-7362
Fax: (866) 779-3899
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Other providers in Folsom