Healthcare Provider Details

I. General information

NPI: 1841126463
Provider Name (Legal Business Name): JANAE SIERRA MCCALL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9340 E STOCKTON BLVD
ELK GROVE CA
95624-1563
US

IV. Provider business mailing address

833 E ST
SACRAMENTO CA
95814-1316
US

V. Phone/Fax

Practice location:
  • Phone: 916-333-3800
  • Fax:
Mailing address:
  • Phone: 916-333-3800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: