NPIMap

Organization Active NPI

Los Alamos Urgent Care

  • Preferred Provider Organization
  • Santa Fe, NM
National Provider Identifier
1043459571
Registry record updated Feb 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
LOS ALAMOS URGENT CARE
Practice address
3600 Rodeo LN
Suite a-1
Santa Fe, NM 87507-6400
Phone
(505) 474-6097
Fax
(505) 471-4503
NPI assigned
Feb 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2009

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

Authorized official

Name
Lisa Gurule
Title
Billing Specialist
Phone
(505) 474-6097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X NM Primary

Addresses

Primary practice location

3600 Rodeo LN
Suite a-1
Santa Fe, NM 87507-6400

Mailing address

1460 Trinity Dr
Suite a
Los Alamos, NM 87544-4106
Phone (505) 662-0768

Other identifiers 1

IdentifierTypeStateIssuer
46233MedicaidNM

Other names 1

  • Santa Fe Medical Group Other name

National Provider Directory

National Provider Directory
Tax ID family
Santa Fe Medical Group8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233878400000",
    "number": "1043459571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 TRINITY DR",
            "address_2": "SUITE A",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875444106",
            "telephone_number": "505-662-0768",
            "fax_number": "505-661-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 RODEO LN",
            "address_2": "SUITE A-1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875076400",
            "telephone_number": "505-474-6097",
            "fax_number": "505-471-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ALAMOS URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-06",
        "last_updated": "2009-02-06",
        "status": "A",
        "authorized_official_last_name": "GURULE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "505-474-6097"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46233",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Fe Medical Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 6, 2009; 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.