Folsom Family and Sports Medical Group Inc.
NPI 1629372073ActiveOrganization· Family Medicine· Folsom, CA
Family Medicine in Folsom, California, registered in NPPES in December 2010. The authorized official on file is Melanie Miller, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629372073 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 28, 2010 |
| Last updated in NPPES | Dec 31, 2024 |
| Certified by provider | Dec 31, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | A64163 | CA |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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