NPIMap

Organization Active NPI

Santa Fe Imaging LLC

  • Clinic/Center
  • Santa Fe, NM
National Provider Identifier
1013937408
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SANTA FE IMAGING LLC
Practice address
1640 Hospital Dr
Santa Fe, NM 87505-4754
Phone
(505) 983-9350
Fax
(505) 955-8763
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Dr. Jonathan D Lehman, M.D.NPI 1679595193
Title
Manager
Phone
(505) 983-9350

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1640 Hospital Dr
Santa Fe, NM 87505-4754

Mailing address

1640 Hospital Dr
Santa Fe, NM 87505-4754
Phone (505) 983-9350

Other identifiers 1

IdentifierTypeStateIssuer
76347MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161219001272 NM Part B Supplier - Clinic/Group Practice 7012099161 Receives reassigned benefits from 15 practitioners
Practice locations: Los Alamos, NM; Santa Fe, NM
O20230608001071 AZ Part B Supplier - Clinic/Group Practice 7012099161 Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

999 Central Ave
Ste 150
Los Alamos, NM 87544

999 Central Ave
Los Alamos, NM 87544

5501 Herrera Dr
Ste 6
Santa Fe, NM 87507

3450 Zafarano Dr
Unit B
Santa Fe, NM 87507
Phone (505) 466-5887

2801 Rodeo Rd
Ste B13B
Santa Fe, NM 87507
Phone (505) 474-5231

3450 Zafarano Dr
Ste C1
Santa Fe, NM 87507

Practitioners & affiliated clinicians

Practitioners 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1013937408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 HOSPITAL DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054754",
            "telephone_number": "505-983-9350",
            "fax_number": "505-955-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 HOSPITAL DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054754",
            "telephone_number": "505-983-9350",
            "fax_number": "505-955-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA FE IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "LEHMAN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "505-983-9350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "76347",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.