Active NPI
David J Atondo, FNP
- Family Nurse Practitioner
- Yuma, AZ
National Provider Identifier
1073954459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP5040
- Practice address
- 1025 W 24TH St Ste 26
Yuma, AZ 85364-8372 - Phone
- (928) 318-6910
- Fax
- (928) 328-1056
- NPI assigned
- Jul 12, 2013
- Last updated
- Sep 9, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP5040 | AZ | Primary |
Addresses
Primary practice location
1025 W 24TH St Ste 26
Yuma, AZ 85364-8372
Mailing address
1025 W 24TH St Ste 26
Yuma, AZ 85364-8372
Phone (928) 318-6910
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063433720 | Other | FACILITY'S NPI | |
| 1962507376 | Other | AZ | FACILITY'S NPI |
| 1043324932 | Other | AZ | FACILITY'S NPI |
| 831027 | Medicaid | AZ | |
| 1245344316 | Other | FACILITY'S NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1025 W 24TH St
Suite 26
Yuma, AZ 85364-8372
Phone (928) 318-6910
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ghebru Woldemichael MD LLC | Current | Accepting new patients | |
| BJD Inc | Family | Current | Accepting new patients |
| Best Healthcare LLC | Current | Accepting new patients | |
| Wellness Integrative, PLC | Past | Accepting new patients |
Locations
1025 W 24th St
Ste 26
Yuma, AZ 85364
Phone (928) 318-6910
2851 S Avenue B
Ste 2601
Yuma, AZ 85364
Phone (928) 317-9562
Interoperability endpoints
- https://api.platform.athenahealth.com/5714/brand/1/csg/1/fhir/r4
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Yuma, AZ
- NPI 1578337689
-
- Urology Physician
- Yuma, AZ
- NPI 1154749422
-
- Family Medicine Physician
- Yuma, AZ
- NPI 1619330388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1073954459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 W 24TH ST STE 26",
"city": "YUMA",
"state": "AZ",
"postal_code": "853648372",
"telephone_number": "928-318-6910",
"fax_number": "928-328-1056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 W 24TH ST STE 26",
"city": "YUMA",
"state": "AZ",
"postal_code": "853648372",
"telephone_number": "928-318-6910",
"fax_number": "928-328-1056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATONDO",
"first_name": "DAVID",
"middle_name": "J",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-12",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP5040",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FACILITY'S NPI",
"identifier": "1063433720",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FACILITY'S NPI",
"identifier": "1962507376",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FACILITY'S NPI",
"identifier": "1043324932",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "831027",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FACILITY'S NPI",
"identifier": "1245344316",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
- Julia Ashley Assaid, PHARMD
- Assisted Living Concepts Inc (Copper Hills House)
- Associated Rehabilitation Physical and Occupational Therapy, PLLC
- Corinna Dawn Atchley, M.S. CCC-SLP
- Joanna I Atherton-Medina, O.T.
- Attaya Medical PLLC
- Ayman Attaya, M.D.
- Audiology & Hearing Aid Assoc
- Julie August, RN, BSN
- Augustine W. Lau M.D., P.L.L.C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.