Healthcare Provider Details

I. General information

NPI: 1750244463
Provider Name (Legal Business Name): ALEXANDER CHRISTOPHER CALHOUN RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 J ST
SACRAMENTO CA
95819-3626
US

IV. Provider business mailing address

1136 BOZIO CT
FOLSOM CA
95630-8555
US

V. Phone/Fax

Practice location:
  • Phone: 916-453-4545
  • Fax:
Mailing address:
  • Phone: 916-583-3438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN796943
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: