Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Porsche Jalis McCullough

Individual provider Adult Companion · NPI 1083414783

Porsche Jalis McCullough is an Adult Companion in Sacramento, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
Specialties on file
3

Practice location Address checks out

401 S St
Sacramento, CA 95811-6919
Phone: (916) 584-7800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Companion (primary) Taxonomy 372600000X
Community Health Worker Taxonomy 172V00000X
Peer Specialist Taxonomy 175T00000X · Licence MPSS-RXCSEQ (CA)

Record details

NPI number1083414783
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 13, 2025
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026

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