NPIMap

Organization Active NPI

JD Medical Behavioral Health Corp

  • Behavior Technician
  • Las Vegas, NV
National Provider Identifier
1437019759
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
JD MEDICAL BEHAVIORAL HEALTH CORP
Practice address
3601 W Sahara Ave Ste 101
Las Vegas, NV 89102-5818
Phone
(725) 255-7865
NPI assigned
Nov 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Maria Jill Buena AlfonsoNPI 1982332227
Title
Owner
Phone
(725) 255-7865

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
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

3601 W Sahara Ave Ste 101
Las Vegas, NV 89102-5818

Mailing address

3601 W Sahara Ave Ste 101
Las Vegas, NV 89102-5818

Other practice location 1

2755 Silver Creek Rd Ste 107
Bullhead City, AZ 86442-8343
Phone (928) 897-3771

Other names 1

  • JD Medical Group LLC DBA JD Medica Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20260119000820 AZ Part B Supplier - Clinic/Group Practice 6305323577 Receives reassigned benefits from 3 practitioners
Practice locations: Bullhead City, AZ
O20260306000659 NV Part B Supplier - Clinic/Group Practice 6305323577 Receives reassigned benefits from 5 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

2755 Silver Creek Rd
Ste 107
Bullhead City, AZ 86442
Phone (725) 251-3522

3601 W Sahara Ave
Ste 211
Las Vegas, NV 89102
Phone (702) 606-1161

3601 W Sahara Ave
Ste 101
Las Vegas, NV 89102
Phone (725) 255-7865

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1763424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1437019759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W SAHARA AVE STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891025818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W SAHARA AVE STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891025818",
            "telephone_number": "725-255-7865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2755 Silver Creek Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Bullhead City",
            "state": "AZ",
            "postal_code": "864428343",
            "country_code": "US",
            "telephone_number": "928-897-3771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JD MEDICAL BEHAVIORAL HEALTH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "ALFONSO",
        "authorized_official_first_name": "MARIA JILL",
        "authorized_official_middle_name": "BUENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "725-255-7865"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JD Medical Group LLC DBA JD Medica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.