OrganizationActive
Wellness Integrative, PLC
NPI 1619330388 · Family Medicine Physician · Yuma, AZ
Wellness Integrative, PLC is a Family Medicine Physician organization in Yuma, AZ (NPI 1619330388).
Provider details
- NPI number
- 1619330388
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennivyr Derakhshan, Owner(928) 318-6910
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1207 W 16th St Ste B
Yuma, AZ 85364-4597
Phone: (928) 318-6310
Fax: (928) 328-1056
Street-level locationGet directions
Mailing address
1207 W 16th St Ste B
Yuma, AZ 85364-4597
Registry dates
- Enumerated
- 2016-03-31
- Last updated
- 2020-04-15
- Certified
- 2020-04-15
Frequently asked questions
- What is Wellness Integrative, PLC's NPI number?
- Wellness Integrative, PLC's National Provider Identifier (NPI) is 1619330388, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wellness Integrative, PLC?
- Wellness Integrative, PLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Wellness Integrative, PLC located?
- Wellness Integrative, PLC's practice location on file with NPPES is 1207 W 16th St Ste B, Yuma, AZ 85364-4597.
- What is Wellness Integrative, PLC's phone number?
- The practice phone number listed in the NPPES registry for Wellness Integrative, PLC is (928) 318-6310.
- Who is the authorized official for Wellness Integrative, PLC?
- The authorized official listed on Wellness Integrative, PLC's NPPES record is Jennivyr Derakhshan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wellness Integrative, PLC's NPI active?
- Yes — Wellness Integrative, PLC's NPI (1619330388) is active in the NPPES registry as of the last update on 2020-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.