Individual provider Active NPI

David J Atondo, FNP

  • Family Nurse Practitioner
  • Yuma, AZ
National Provider Identifier
1073954459
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP5040 Issued in AZ
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1063433720OtherFACILITY'S NPI
1962507376OtherAZFACILITY'S NPI
1043324932OtherAZFACILITY'S NPI
831027MedicaidAZ
1245344316OtherFACILITY'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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131111000260 AZ Practitioner - Nurse Practitioner 6002041597 Reassigns benefits to 2 organizations

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
BJD IncGroup PAC ID 9931508538, 2 clinicians

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

OrganizationSpecialtyStatusNew patients
Ghebru Woldemichael MD LLC CurrentSince Aug 1, 2025 Accepting new patients
BJD Inc Family CurrentSince Oct 10, 2023 Accepting new patients
Best Healthcare LLC CurrentSince Aug 1, 2025 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

  • FHIR API: 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.

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

Sources for this page

Verify at the official NPI Registry.