Active NPI
Bhushan Manjooran Wirjo & Associates PLLC
- Psychiatry Physician
- Las Vegas, NV
National Provider Identifier
1821341363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- DO1716
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1326474685
-
- Psychiatry Physician
- Las Vegas, NV
- NPI 1114241973
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.