Individual provider Active NPI

Shari Jainuddin, ND

  • Naturopath
  • La Quinta, CA
National Provider Identifier
1568093904
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
ND1110 Issued in CA
Practice address
78900 Avenue 47 Ste 102
La Quinta, CA 92253-2070
Phone
(760) 771-5970
NPI assigned
Feb 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X ND1110 CA Primary

Addresses

Primary practice location

78900 Avenue 47 Ste 102
La Quinta, CA 92253-2070

Mailing address

78900 Avenue 47 Ste 102
La Quinta, CA 92253-2070

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

State licenses

LicenseStateTypeSpecialty
ND1110CAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Live Well Naturopathic Clinic, a Professional Corporation Naturopath CurrentSince Jul 24, 2022 Accepting new patients

Locations

78900 Avenue 47
Ste 102
La Quinta, CA 92253
Phone (760) 600-5325

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1568093904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78900 AVENUE 47 STE 102",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78900 AVENUE 47 STE 102",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532070",
            "telephone_number": "760-771-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAINUDDIN",
        "first_name": "SHARI",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND1110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Quinta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.