Gladys B. Ceballos-Logan, NMD

Primary specialty

NaturopathTaxonomy code 175F00000X

License

03-752 Issued in AZ

Practice address

1757 E Baseline Rd
BLDG 9 Ste 135
Gilbert, AZ 85233-1532

Phone

(480) 503-4325

Fax

(480) 503-4326

NPI assigned

Nov 30, 2007

Last updated

Nov 30, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1285816215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 E BASELINE RD",
            "address_2": "BLDG 9 STE 135",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852331532",
            "telephone_number": "480-503-4325",
            "fax_number": "480-503-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 E BASELINE RD",
            "address_2": "BLDG 9 STE 135",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852331532",
            "telephone_number": "480-503-4325",
            "fax_number": "480-503-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEBALLOS-LOGAN",
        "first_name": "GLADYS",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "NMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "03-752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Naturopath in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Naturopath in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.