Individual provider Active NPI

Michael A. Shea, MD

  • Family Medicine Physician
  • Folsom, CA
National Provider Identifier
1194875807
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A79231 Issued in CA
Practice address
2575 E Bidwell St Ste 160
Folsom, CA 95630-6446
Phone
(916) 817-3730
Fax
(916) 817-3731
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X A79231 CA
Family Medicine Physician 207Q00000X A79231 CA Primary

Addresses

Primary practice location

2575 E Bidwell St Ste 160
Folsom, CA 95630-6446

Mailing address

PO Box 255228
Sacramento, CA 95865-5228

Other practice location 1

1201 Alhambra Blvd Ste 230
Sacramento, CA 95816-5241
Phone (916) 731-7728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071109000599 CA Practitioner - Family PracticePractitioner - Sports Medicine 1456449370 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

250 W Main St
Woodland, CA 95695-3652
Phone (916) 668-6100

2575 E Bidwell St
Suite 100
Folsom, CA 95630-6445
Phone (916) 817-3710

2800 L St
Sacramento, CA 95816-5616

4011 Woodcreek Oaks Blvd
Roseville, CA 95747-6834
Phone (530) 649-3338

795 El Camino Real
Palo Alto, CA 94301-2302
Phone (415) 600-1020

Hospital & facility affiliations

  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A79231CAMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation CurrentSince Nov 1, 2023 Accepting new patients
Northern California Orthopaedic Associates Corp CurrentSince Jun 24, 2022 Accepting new patients
Brian a. McDowell Podiatry Corporation CurrentSince Apr 1, 2021 Accepting new patients
Sutter Valley Medical Foundation Family Medicine Current Accepting new patients
Brian a. McDowell Podiatry Corporation CurrentSince Apr 1, 2021 Accepting new patients
Northern California Orthopaedic Associates Corp CurrentSince Jun 24, 2022 Accepting new patients
Sutter Valley Medical Foundation Family Medicine CurrentSince Nov 1, 2023 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Jun 23, 2025 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Jun 23, 2025 Accepting new patients

Locations (25 of 27)

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920

6620 Coyle Ave
Ste 202
Carmichael, CA 95608
Phone (916) 961-3434

6501 Coyle Ave
Carmichael, CA 95608
Phone (916) 537-5000

19845 Lake Chabot Rd
Ste 301
Castro Valley, CA 94546
Phone (510) 581-1484

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

2575 E Bidwell St
Ste 160
Folsom, CA 95630
Phone (916) 817-3730

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

1061 E Main St
Ste 201
Grass Valley, CA 95945
Phone (530) 477-5288

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

576 N Sunrise Ave
Ste 230
Roseville, CA 95661
Phone (916) 961-3434

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

1201 Alhambra Blvd
Ste 230
Sacramento, CA 95816
Phone (916) 731-7728

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

1580 Valencia St
Ste 109
San Francisco, CA 94110
Phone (415) 285-7711

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488

Interoperability endpoints

  • Direct secure messaging: mshea236480@hisp.ehr.sutterhealth.org
  • FHIR API: https://api.platform.athenahealth.com/20181/brand/1/csg/1/fhir/r4
  • Direct secure messaging: msheamd@soasm-ca.direct.office.nextgen.com
  • FHIR API: https://api.platform.athenahealth.com/2547/brand/1/csg/1/fhir/r4
  • Direct secure messaging: michael.shea.1@9116.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1194875807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 E BIDWELL ST STE 160",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306446",
            "telephone_number": "916-817-3730",
            "fax_number": "916-817-3731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Alhambra Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958165241",
            "country_code": "US",
            "telephone_number": "916-731-7728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEA",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "A79231",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A79231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.