MEDICARE: JAMIE GAINES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	372600000X	Adult Companion		CA

General Provider Information

NPI Number	:	1114850690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE GAINES

Provider Business Mailing Address
First Line	:	3780 ROSIN CT STE 110
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-1698
Country	:	US
Telephone Number	:	916-441-0226
Fax Number	:	916-441-0286

Provider Business Practice Location Address
First Line	:	8421 AUBURN BLVD # 162
Second Line	:
City	:	CITRUS HEIGHTS
State	:	CA
Zip	:	95610-0359
Country	:	US
Telephone Number	:	916-441-0226
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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Directions to “ JAMIE GAINES ” Practice Location

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