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

Shea Orthopedic and Sports Medicine PC

Organization Sports Medicine (Family Medicine) Physician · NPI 1225762917

Shea Orthopedic and Sports Medicine PC provides Sports Medicine (Family Medicine) Physician services in Folsom, California. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1580 Creekside Dr
Folsom, CA 95630
Phone: (916) 984-4500
Fax: (915) 984-4502
Show map & directions

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

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X

Record details

NPI number1225762917
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Shea — Owner · (916) 984-4500
NPI enumeratedJuly 11, 2022
Last updated in NPPESJuly 13, 2022
Certification dateJuly 13, 2022
Mailing address1580 Creekside Drive, Folsom, CA 95630

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