Individual provider Active NPI

Peter Nicholas Sfakianos, M.D.

  • Specialist
  • Folsom, CA
National Provider Identifier
1295791465
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G52972 Issued in CA
Practice address
1580 Creekside Dr
Suite 100
Folsom, CA 95630-3886
Phone
(916) 984-4500
Fax
(916) 984-4502
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G52972 CA Primary

Addresses

Primary practice location

1580 Creekside Dr
Suite 100
Folsom, CA 95630-3886

Mailing address

5482 Milton Ranch Rd
Shingle Springs, CA 95682-5100
Phone (530) 676-3161

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
I20040617000656 CA Practitioner - Orthopedic Surgery 6103718820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Albany Medical College of Union University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1580 Creekside Dr
Suite 100
Folsom, CA 95630-3887
Phone (916) 984-4500

Hospital & facility affiliations

  • Mercy Hospital of Folsom Hospital, Folsom, CA, CCN 050414

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G52972CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Peter N. Sfakianos, M.D., Inc. CurrentSince May 6, 2009 Accepting new patients

Locations

1580 Creekside Dr
Ste 100
Folsom, CA 95630
Phone (916) 961-3434

619 New York Ranch Rd
Jackson, CA 95642
Phone (209) 223-3030

Organizations & group practices 1

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 1

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295791465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5482 MILTON RANCH RD",
            "city": "SHINGLE SPRINGS",
            "state": "CA",
            "postal_code": "956825100",
            "telephone_number": "530-676-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 CREEKSIDE DR",
            "address_2": "SUITE 100",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303886",
            "telephone_number": "916-984-4500",
            "fax_number": "916-984-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SFAKIANOS",
        "first_name": "PETER",
        "middle_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G52972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.