Healthcare Provider Details

I. General information

NPI: 1326963703
Provider Name (Legal Business Name): ALBERTO JIMENEZ CMT
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 CAPITOL AVE STE 100
SACRAMENTO CA
95816-5884
US

IV. Provider business mailing address

3837 LYNWOOD WAY
SACRAMENTO CA
95864-0749
US

V. Phone/Fax

Practice location:
  • Phone: 916-209-0035
  • Fax:
Mailing address:
  • Phone: 916-764-7324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number93794
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: