Active NPI
City Different Primary Care, LLC
- Family Medicine Physician
- Santa Fe, NM
National Provider Identifier
1063378271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CITY DIFFERENT PRIMARY CARE, LLC
- Practice address
- 2085 S Pacheco St
Santa Fe, NM 87505-6103 - Phone
- (505) 395-3000
- NPI assigned
- Dec 31, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Blakeburn, MD
- Title
- Owner
- Phone
- (580) 445-0773
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
2085 S Pacheco St
Santa Fe, NM 87505-6103
Mailing address
2085 S Pacheco St
Santa Fe, NM 87505-6103
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D2340168 | City Different Primary Care | Provider-performed microscopy | Mar 11, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767916800000",
"number": "1063378271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2085 S PACHECO ST",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875056103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2085 S PACHECO ST",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875056103",
"telephone_number": "505-395-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY DIFFERENT PRIMARY CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-31",
"last_updated": "2026-01-09",
"certification_date": "2026-01-09",
"status": "A",
"authorized_official_last_name": "BLAKEBURN",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "580-445-0773",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.