Organization Active NPI

Rejuvme, Inc

  • General Practice Physician
  • Yuma, AZ
National Provider Identifier
1225217284
Registry record updated May 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
35065109 Issued in OH
Legal business name
REJUVME, INC
Practice address
13820 S Avenue G
Yuma, AZ 85365-9703
Phone
(928) 485-1814
Fax
(604) 491-0620
NPI assigned
Oct 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2023

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

Authorized official

Name
Dr. Liam Alexander Briones, MDNPI 1982681433
Title
President
Phone
(928) 378-8528

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X 35065109 OH
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 35065109 OH Primary

Addresses

Primary practice location

13820 S Avenue G
Yuma, AZ 85365-9703

Mailing address

4848 E Cactus Rd Ste 505
Scottsdale, AZ 85254-4182
Phone (216) 543-6607

Other practice location 1

4848 E Cactus Rd Ste 505
Scottsdale, AZ 85254-4182
Phone (216) 543-6607

Other identifiers 1

IdentifierTypeStateIssuer
255409MedicaidAZ

Other names 1

  • Berta Briones MD, Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

4848 E Cactus Rd
Ste 505
Scottsdale, AZ 85254
Phone (216) 543-6607

PO Bo X 73570
Cleveland, OH 44193

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684022400000",
    "number": "1225217284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4848 E CACTUS RD STE 505",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544182",
            "telephone_number": "216-543-6607",
            "fax_number": "602-491-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13820 S AVENUE G",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853659703",
            "telephone_number": "928-485-1814",
            "fax_number": "604-491-0620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4848 E Cactus Rd Ste 505",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852544182",
            "country_code": "US",
            "telephone_number": "216-543-6607",
            "fax_number": "602-491-0620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REJUVME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2023-05-14",
        "certification_date": "2023-05-14",
        "status": "A",
        "authorized_official_last_name": "BRIONES",
        "authorized_official_first_name": "LIAM",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-378-8528",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "OH",
            "license": "35065109",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "OH",
            "license": "35065109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255409",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berta Briones MD, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Berta Briones MD, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2023; 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.