NPIMap

Organization Active NPI

Children's Medical Services

  • Public Health or Welfare Agency
  • Santa Fe, NM
National Provider Identifier
1023225778
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
CHILDREN'S MEDICAL SERVICES
Practice address
2040 S Pacheco St
Santa Fe, NM 87505-5472
Phone
(505) 476-8863
Fax
(505) 476-8896
NPI assigned
May 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Yolanda Sisneros
Title
Statewide Clinic Coordinator
Phone
(505) 476-8863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

2040 S Pacheco St
Santa Fe, NM 87505-5472

Mailing address

2040 S Pacheco St
Santa Fe, NM 87505-5472
Phone (505) 476-8863

Other identifiers 6

IdentifierTypeStateIssuer
46441MedicaidNM
48264MedicaidNM
46789MedicaidNM
10887831MedicaidNM
48157MedicaidNM
E7576MedicaidNM

National Provider Directory

National Provider Directory
Tax ID family
Las Vegas Medical Cente43 organizations share this tax ID, including this one

Other organizations with this tax ID 42

Organizations that report the same tax identification number in the National Provider Directory.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023225778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 S PACHECO ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055472",
            "telephone_number": "505-476-8863",
            "fax_number": "505-476-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 S PACHECO ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055472",
            "telephone_number": "505-476-8863",
            "fax_number": "505-476-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SISNEROS",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "STATEWIDE CLINIC COORDINATOR",
        "authorized_official_telephone_number": "505-476-8863"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46441",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48264",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46789",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10887831",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48157",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E7576",
            "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 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.