Organization Active NPI

Bhushan Manjooran Wirjo & Associates PLLC

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1821341363
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DO1716 Issued in NV
Legal business name
BHUSHAN MANJOORAN WIRJO & ASSOCIATES PLLC
Practice address
3100 N Tenaya Way
Las Vegas, NV 89128-0436
Phone
(702) 417-4091
Fax
(702) 527-7545
NPI assigned
Oct 22, 2012
Last updated
Oct 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Authorized official

Name
Dr. Jonathan Wirjo, MD
Title
Manager
Phone
(702) 417-4091

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X DO1716 NV Primary
Psychiatry Physician 2084P0800X 12371 NV

Addresses

Primary practice location

3100 N Tenaya Way
Las Vegas, NV 89128-0436

Mailing address

PO Box 371598
Las Vegas, NV 89137-1598
Phone (702) 417-4091

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1821341363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 371598",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891371598",
            "telephone_number": "702-417-4091",
            "fax_number": "702-527-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 N TENAYA WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280436",
            "telephone_number": "702-417-4091",
            "fax_number": "702-527-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHUSHAN MANJOORAN WIRJO & ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "WIRJO",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-417-4091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "DO1716",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "12371",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 22, 2012; 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.