Healthcare Provider Details

I. General information

NPI: 1932603222
Provider Name (Legal Business Name): CHRISTOPHER JAMES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2018
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2360 E BIDWELL ST STE 100
FOLSOM CA
95630-3406
US

IV. Provider business mailing address

2360 E BIDWELL ST STE 100
FOLSOM CA
95630-3406
US

V. Phone/Fax

Practice location:
  • Phone: 916-936-1010
  • Fax: 916-936-1414
Mailing address:
  • Phone: 916-936-1010
  • Fax: 916-936-1414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number125073238
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number125.073238
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number125073238
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: