Jivana LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

JIVANA LLC

Doing business as

Jivana Care

Practice address

4927 Auburn Ave Ste 200
Bethesda, MD 20814-2641

Phone

(301) 951-3606

Fax

(240) 215-3171

NPI assigned

Dec 30, 2014

Last updated

Sep 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gezzer Ortega, MD

Title

Medical Director

Phone

(301) 951-3606

Specialties & licenses 1

Addresses

Other names 1

• Jivana Care Doing business as

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15165/brand/1/csg/1/fhir/r4

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.

• Suresh C Gupta, MD

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  • Mount Rainer, MD
  • NPI 1154411197
  NPD (past)

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1710375662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8347 CHERRY LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074828",
            "telephone_number": "410-529-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4927 AUBURN AVE STE 200",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142641",
            "telephone_number": "301-951-3606",
            "fax_number": "240-215-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIVANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "GEZZER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-951-3606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jivana Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Couger Jimenez Jaramillo, MD
• Axel D Jimenez Jr., NONE
• Genesis Anair Jimenez
• Sandra Patricia Jimenez, PSY.D.
• Jisun Ryu Acupuncture LLC (Bethesda Metro Acupuncture & Wellness)
• JMR Counseling, LLC
• Angelika Jocelyn
• Jody Tabner Thayer LLC
• Galen O Joe, MD
• Steven Joe, DDS

• Primary Care Clinic/Center in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.