Healthcare Provider Details

I. General information

NPI: 1437178191
Provider Name (Legal Business Name): JAMES M HOLT F.N.P.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4062 FLYING C RD STE 41
CAMERON PARK CA
95682-9664
US

IV. Provider business mailing address

7710 BUTTE AVE
SUTTER CA
95982-2159
US

V. Phone/Fax

Practice location:
  • Phone: 530-676-8234
  • Fax: 530-676-0819
Mailing address:
  • Phone: 530-674-9061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number438668
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberFNP13130
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: