Westside Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

95-86 Issued in NM

Legal business name

WESTSIDE FAMILY MEDICINE

Practice address

1316 Jackie Rd SE Ste 900
Rio Rancho, NM 87124-6612

Phone

(505) 892-7518

Fax

(505) 892-9092

NPI assigned

Feb 28, 2007

Last updated

Aug 22, 2020By 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

Lee M RobakNPI 1417022740

Title

Owner

Phone

(505) 892-7518

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Lee Michael Robak, MD

  • Family Medicine Physician
  • Rio Rancho, NM
  • NPI 1417022740
  NPD (past) Authorized official
• Amy Schmidt, MD

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1508963992
  NPD (past)
• Celia Valdez

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1497854921
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023146354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 JACKIE RD SE STE 900",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871246612",
            "telephone_number": "505-892-7518",
            "fax_number": "505-892-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 JACKIE RD SE STE 900",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871246612",
            "telephone_number": "505-892-7518",
            "fax_number": "505-892-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBAK",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-892-7518"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "95-86",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Paige Wesselink, RDN
• Allison Hage West, FNP
• Melissa Westfall
• Christiaan Westrom, LPCC
• Westside Endodontics
• Westside Myofascial Center LLC (Healing Solutions Alternative Wellness Center LLC)
• Westside Pediatric Dentistry
• Wfa LLC (Medical massage by jovana)
• Barbara Lynn Wheeler, RN
• Elizabeth Wheeler, RN

• Family Medicine Physician in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.