Active NPI
JC Aljammal PLLC
- Clinic/Center
- Salt Lake City, UT
National Provider Identifier
1710466115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- JC ALJAMMAL PLLC
- Practice address
- 4465 S 900 E Ste 200
Salt Lake City, UT 84124-2695 - Phone
- (412) 996-0131
- Fax
- (801) 683-6845
- NPI assigned
- Aug 7, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura John
- Title
- Credentialing Coordinator
- Phone
- (801) 231-6986
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | |||
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
4465 S 900 E Ste 200
Salt Lake City, UT 84124-2695
Mailing address
PO Box 520247
Salt Lake City, UT 84152-0247
Phone (412) 996-0131
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Issaquah, WA
- NPI 1083846018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1563321600000",
"number": "1710466115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 520247",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841520247",
"telephone_number": "412-996-0131",
"fax_number": "801-683-6845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4465 S 900 E STE 200",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841242695",
"telephone_number": "412-996-0131",
"fax_number": "801-683-6845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JC ALJAMMAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-07",
"last_updated": "2019-07-17",
"status": "A",
"authorized_official_last_name": "JOHN",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "801-231-6986"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.