BJD Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

BJD INC

Practice address

1025 W 24TH St Ste 26
Yuma, AZ 85364-8372

Phone

(928) 318-6910

Fax

(928) 328-1056

NPI assigned

Nov 12, 2019

Organization subpart

No

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

Authorized official

Name

Jennivyr Derakhshan

Title

President

Phone

(928) 483-9911

Specialties & licenses 1

Addresses

Other names 1

• Radiant Adult Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David J Atondo, FNP

  • Family Nurse Practitioner
  • Yuma, AZ
  • NPI 1073954459
  Medicare reassignment Care Compare group NPD
• Christal L Ott, FNP

  • Family Nurse Practitioner
  • Yuma, AZ
  • NPI 1831937465
  Medicare reassignment Care Compare group NPD
• Tammy L Slade-Florez, NP

  • Family Nurse Practitioner
  • Yuma, AZ
  • NPI 1174628283
  Medicare reassignment NPD

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1255976403",
    "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": {
        "organization_name": "BJD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "DERAKHSHAN",
        "authorized_official_first_name": "JENNIVYR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-483-9911"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiant Adult Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Radiant Adult Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bio Family Clinic Inc
• Bio Family Clinic Inc
• Harmony Raye Birdsong, M.A.
• Matthew G Bishop, MD
• Bison Express Shuttle LLC
• James Allen Black, MD
• Maria Blanco, BS FSHD
• Blue Horizons Clinic
• Blue Ocean Ventures PLLC
• Blue Skies Home Care Services

• Family Nurse Practitioner in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.