Provider Demographics
NPI:1154493906
Name:SHEEHY, EMBER (MD)
Entity type:Individual
Prefix:
First Name:EMBER
Middle Name:
Last Name:SHEEHY
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:A
Other - Middle Name:MACDUFF
Other - Last Name:SHEEHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2025 MORSE AVENUE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-2115
Mailing Address - Country:US
Mailing Address - Phone:916-973-5282
Mailing Address - Fax:916-973-5820
Practice Address - Street 1:2025 MORSE AVENUE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-2115
Practice Address - Country:US
Practice Address - Phone:916-973-5282
Practice Address - Fax:916-973-5820
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA94344207RC0000X
CA94344207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
00A943440Medicare ID - Type Unspecified