Healthcare Provider Details

I. General information

NPI: 1194662478
Provider Name (Legal Business Name): JUSTIN ALIAMUS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8848 CALVINE RD STE 130
SACRAMENTO CA
95828-9335
US

IV. Provider business mailing address

2201 ARENA BLVD APT 2206
SACRAMENTO CA
95834-7928
US

V. Phone/Fax

Practice location:
  • Phone: 916-665-0722
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number37125
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: