Ebrahim Jatta, NMD

Primary specialty

NaturopathTaxonomy code 175F00000X

License

18-1699 Issued in AZ

Practice address

8962 E Desert Cove Ave Ste 110
Scottsdale, AZ 85260-6984

Phone

(480) 248-6807

Fax

(480) 248-6737

NPI assigned

Mar 26, 2018

Last updated

Mar 26, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1912402660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8962 E DESERT COVE AVE STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606984",
            "telephone_number": "480-248-6807",
            "fax_number": "480-248-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8962 E DESERT COVE AVE STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606984",
            "telephone_number": "480-248-6807",
            "fax_number": "480-248-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JATTA",
        "first_name": "EBRAHIM",
        "name_prefix": "Dr.",
        "credential": "NMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "18-1699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATUROPATHIC MEDICAL DOCTOR",
            "identifier": "18-1699",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.