Jacqueline M Calkin MD and Alison a Boudreaux MD a Professional Medica

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

JACQUELINE M CALKIN MD AND ALISON A BOUDREAUX MD A PROFESSIONAL MEDICA

Practice address

2625 Fair Oaks Blvd
Suite 1
Sacramento, CA 95864-4936

Phone

(916) 646-3376

Fax

(916) 646-3336

NPI assigned

Feb 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alison Ann Boudreaux, MD

Title

Physician

Phone

(916) 646-3376

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Calkin And Boudreaux Dermatology Associates Inc. Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Young Chao, MD

  • MOHS-Micrographic Surgery Physician
  • Roseville, CA
  • NPI 1780187500

  Dermatology

  NPD (past)
• Adam Robert Ford, MD

  • Dermatology Physician
  • Sacramento, CA
  • NPI 1326508946
  NPD (past)
• Katherine Macauley Ligtenberg Given, MD, PHD

  • Dermatology Physician
  • Santa Rosa, CA
  • NPI 1124476296
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1659408771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 FAIR OAKS BLVD",
            "address_2": "SUITE 1",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958644936",
            "telephone_number": "916-646-3376",
            "fax_number": "916-646-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 FAIR OAKS BLVD",
            "address_2": "SUITE 1",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958644936",
            "telephone_number": "916-646-3376",
            "fax_number": "916-646-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE M CALKIN MD AND ALISON A BOUDREAUX MD A PROFESSIONAL MEDICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "BOUDREAUX",
        "authorized_official_first_name": "ALISON",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "916-646-3376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0098940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calkin And Boudreaux Dermatology Associates Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ted Victor Jacoby, MD
• Elizabeth Jacolbia
• Melissa Ann Jacome
• Corrisa May Jacomini, INTERN
• Amy Jacoy
• Lydia Madeline Jacques-Montanez, ASW
• Adrian Jacques
• Madeleine Jacques, MD
• Letticia Jacquez
• Jade Tree LLC

• Dermatology Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.