Jesse Fatoma
NPI 1407743891 · Psychiatric/Mental Health Nurse Practitioner · Avondale, AZ
Jesse Fatoma is a Psychiatric/Mental Health Nurse Practitioner provider in Avondale, AZ (NPI 1407743891).
Provider details
- NPI number
- 1407743891
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 326908 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 11770 W Davis LnAvondale, AZ 85323-7695Phone: (480) 217-8964
Registry dates
- Enumerated
- 2025-06-19
- Last updated
- 2026-06-05
- Certified
- 2026-06-05
Frequently asked questions
- What is Jesse Fatoma's NPI number?
- Jesse Fatoma's National Provider Identifier (NPI) is 1407743891, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jesse Fatoma's specialty?
- Jesse Fatoma is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jesse Fatoma located?
- Jesse Fatoma's practice location on file with NPPES is 11770 W Davis Ln, Avondale, AZ 85323-7695.
- What is Jesse Fatoma's phone number?
- The practice phone number listed in the NPPES registry for Jesse Fatoma is (480) 217-8964.
- Is Jesse Fatoma's NPI active?
- Yes — Jesse Fatoma's NPI (1407743891) is active in the NPPES registry as of the last update on 2026-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.