Active NPI
James Michael Elliott Jr.
- Rehabilitation Practitioner
- Sacramento, CA
National Provider Identifier
1033316732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 9343 Tech Center Dr Ste 110
Sacramento, CA 95826-2592 - Phone
- (408) 465-8280
- NPI assigned
- Jun 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Adult Companion | 372600000X | |||
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
9343 Tech Center Dr Ste 110
Sacramento, CA 95826-2592
Mailing address
9343 Tech Center Dr Ste 110
Sacramento, CA 95826-2592
Other practice location 1
1116 Legend Cir
Vallejo, CA 94591-8679
Phone (707) 563-0157
Other practice location 2
4113 Fall Creek Ct
Fairfield, CA 94534-6637
Phone (707) 563-0157
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749427200000",
"number": "1033316732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9343 TECH CENTER DR STE 110",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958262592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9343 TECH CENTER DR STE 110",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958262592",
"telephone_number": "408-465-8280"
}
],
"practiceLocations": [
{
"address_1": "1116 Legend Cir",
"address_purpose": "LOCATION",
"city": "Vallejo",
"state": "CA",
"postal_code": "945918679",
"country_code": "US",
"telephone_number": "707-563-0157",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4113 Fall Creek Ct",
"address_purpose": "LOCATION",
"city": "Fairfield",
"state": "CA",
"postal_code": "945346637",
"country_code": "US",
"telephone_number": "707-563-0157",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELLIOTT",
"first_name": "JAMES",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-27",
"last_updated": "2025-06-09",
"certification_date": "2025-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.