Healthcare Provider Details

I. General information

NPI: 1881515716
Provider Name (Legal Business Name): ALEXANDER AGRAMONTE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2377 GOLD MEADOW WAY STE 101
GOLD RIVER CA
95670-4405
US

IV. Provider business mailing address

2377 GOLD MEADOW WAY STE 101
GOLD RIVER CA
95670-4405
US

V. Phone/Fax

Practice location:
  • Phone: 916-397-0505
  • Fax:
Mailing address:
  • Phone: 530-720-4435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: