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SACRAMENTO ORTHOPEDIC SPORTS & SHOULDER
NPI 1558054791
Orthopaedic Surgery - Sports Medicine in Sacramento, CA

Active since June 01, 2023
2801 K ST STE 330, SACRAMENTO, CA 95816(414) 807-0645 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sacramento Orthopedic Sports & Shoulder NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SACRAMENTO ORTHOPEDIC SPORTS & SHOULDER (NPI 1558054791) is a healthcare organization registered as a sports medicine in Sacramento, California and active in the NPI registry since June 2023. The organization lists Greg Takenishi, Chief Excecutive Officer, as its authorized official.

NPPES Registry Identity

NPI1558054791
Entity TypeOrganization
Primary Taxonomy207XX0005X
Legal Business NameSACRAMENTO ORTHOPEDIC SPORTS & SHOULDER
Location Address2801 K ST STE 330Sacramento, CA 95816-5119
Mailing Address2801 K St Ste 330Sacramento, CA 95816-5119 · (916) 732-3000
Phone(414) 807-0645
Organization SubpartNo
Authorized OfficialGreg TakenishiChief Excecutive Officer · (414) 807-0645
Enumeration DateJune 1, 2023
NPPES CertifiedJune 1, 2023
✔ NPI 1558054791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
2801 K ST STE 330, Sacramento, CA 95816
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sacramento Orthopedic Sports & Shoulder is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sacramento Orthopedic Sports & Shoulder, which bills Medicare for the services this clinician delivers.

Clinician (1)

Greg Takenishi, M.D.
Orthopedic Surgery
NPI 1992999817
2801 K ST STE 330
Sacramento, CA 95816
(916) 732-3000
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sacramento Orthopedic Sports & Shoulder's NPI number?

The NPI number for Sacramento Orthopedic Sports & Shoulder is 1558054791. It was assigned to this organization in the NPPES registry on June 1, 2023.

Where is Sacramento Orthopedic Sports & Shoulder located?

Sacramento Orthopedic Sports & Shoulder is located at 2801 K St Ste 330, Sacramento, CA 95816. The listed phone number is (414) 807-0645.

What is Sacramento Orthopedic Sports & Shoulder's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Sacramento Orthopedic Sports & Shoulder enrolled in Medicare?

Yes. Sacramento Orthopedic Sports & Shoulder is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sacramento Orthopedic Sports & Shoulder?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Sacramento Orthopedic Sports & Shoulder. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sacramento Orthopedic Sports & Shoulder was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.