NPIMap

Organization Active NPI

Folsom Orthopaedic Surgery & Sports Injury Medical Clinic, Inc.

  • Orthopaedic Surgery Physician
  • Folsom, CA
National Provider Identifier
1821058934
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
FOLSOM ORTHOPAEDIC SURGERY & SPORTS INJURY MEDICAL CLINIC, INC.
Practice address
1743 Creekside Dr
Suite 130
Folsom, CA 95630-3541
Phone
(916) 983-2307
NPI assigned
Mar 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Authorized official

Name
Guy Guilfoy, M.D.NPI 1154381341
Title
President
Phone
(916) 983-2307

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1743 Creekside Dr
Suite 130
Folsom, CA 95630-3541

Mailing address

1743 Creekside Dr
Suite 130
Folsom, CA 95630-3541
Phone (916) 983-2307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041022000684 CA Part B Supplier - Clinic/Group Practice 3678534658 Receives reassigned benefits from 6 practitioners
Practice locations: Folsom, CA

National Provider Directory

National Provider Directory

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1821058934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1743 CREEKSIDE DR",
            "address_2": "SUITE 130",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303541",
            "telephone_number": "916-983-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1743 CREEKSIDE DR",
            "address_2": "SUITE 130",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303541",
            "telephone_number": "916-983-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOLSOM ORTHOPAEDIC SURGERY & SPORTS INJURY MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "GUILFOY",
        "authorized_official_first_name": "GUY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-983-2307",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.