FOLSOM FAMILY AND SPORTS MEDICAL GROUP INC.
NPI 1629372073
Family Medicine in Folsom, CA

Q: What is Folsom Family And Sports Medical Group Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since December 28, 2010

2545 E BIDWELL ST STE 110, FOLSOM, CA 95630(916) 941-7362(866) 779-3899 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 31, 2024, Jul 20, 2022, Mar 27, 2017 (3 updates tracked since 2017).

On this page

About Folsom Family And Sports Medical Group Inc. NPPES

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

FOLSOM FAMILY AND SPORTS MEDICAL GROUP INC. (NPI 1629372073) is a healthcare organization registered as a family medicine in Folsom, California and active in the NPI registry since December 2010. The organization lists Melanie Miller, Manager, as its authorized official.

NPPES Registry Identity

NPI1629372073

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameFOLSOM FAMILY AND SPORTS MEDICAL GROUP INC.

Location Address2545 E BIDWELL ST STE 110Folsom, CA 95630-6443

Mailing Address2545 E Bidwell St Ste 110Folsom, CA 95630-6443 · (916) 941-7362 · Fax (866) 779-3899

Phone(916) 941-7362

Fax(866) 779-3899

Organization SubpartNo

Authorized OfficialMelanie MillerManager · (916) 365-3431

Enumeration DateDecember 28, 2010

Last NPPES UpdateDecember 31, 20243 updates tracked since enumeration

NPPES CertifiedDecember 31, 2024

✔ NPI 1629372073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A64163

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

2545 E BIDWELL ST STE 110, Folsom, CA 95630

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Folsom Family And Sports Medical Group Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Folsom Family And Sports Medical Group Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Kelley Leonard, CRNP

Nurse Practitioner

NPI 1275822520

2545 E BIDWELL ST STE 110
Folsom, CA 95630

(916) 941-7362

✔ PECOSSame address

Cheryl Matossian, M.D.

Family Practice

NPI 1740379072

2545 E BIDWELL ST STE 110
Folsom, CA 95630

(916) 941-7362

✔ 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 Folsom Family And Sports Medical Group Inc.'s NPI number?

The NPI number for Folsom Family And Sports Medical Group Inc. is 1629372073. It was assigned to this organization in the NPPES registry on December 28, 2010.

Where is Folsom Family And Sports Medical Group Inc. located?

Folsom Family And Sports Medical Group Inc. is located at 2545 E Bidwell St Ste 110, Folsom, CA 95630. The listed phone number is (916) 941-7362.

What is Folsom Family And Sports Medical Group Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Folsom Family And Sports Medical Group Inc. enrolled in Medicare?

Yes. Folsom Family And Sports Medical Group Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Folsom Family And Sports Medical Group Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Folsom Family And Sports Medical Group Inc., in Family Practice and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Folsom Family And Sports Medical Group Inc. was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.