Active NPI
Fatana Nehmatullah
- Behavior Technician
- Lake Forest, CA
National Provider Identifier
1952912818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 523 Escenico
Lake Forest, CA 92630-8914 - Phone
- (951) 640-8778
- NPI assigned
- Aug 13, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
523 Escenico
Lake Forest, CA 92630-8914
Mailing address
18008 Sky Park Cir
Irvine, CA 92614-6433
Phone (949) 474-1493
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1952912818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18008 SKY PARK CIR",
"city": "IRVINE",
"state": "CA",
"postal_code": "926146433",
"telephone_number": "949-474-1493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "523 ESCENICO",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926308914",
"telephone_number": "951-640-8778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEHMATULLAH",
"first_name": "FATANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-13",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Forest, CA
- Nathaniel Ho, M.D. Inc
- National Vision, Inc. (America's Best Contacts & Eyeglasses)
- Nationwide Healthcare Provider Corp
- Nationwide Recovery Centers, LLC
- Eli Navarrete, D.C.
- Robert Glenn Nelson, PA
- Madeline Nesheiwat
- Scott Neubauer, D.C.
- Bradley Sean Neutel, MD
- New Life Addiction Treatment Center Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.