NPIMap

Organization Active NPI

Viva Health

  • Family Medicine Physician
  • Sunland Park, NM
National Provider Identifier
1114514924
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VIVA HEALTH
Practice address
1580 Appaloosa Dr Ste C310
Sunland Park, NM 88063-8904
Phone
(575) 642-6940
NPI assigned
Dec 28, 2020
Last updated
May 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Alfredo Jose Garcia
Title
Ceo
Phone
(575) 642-6940

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Family Medicine Physician 207Q00000X NU Primary
Case Manager/Care Coordinator 171M00000X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

1580 Appaloosa Dr Ste C310
Sunland Park, NM 88063-8904

Mailing address

1580 Appaloosa Dr Ste C310
Sunland Park, NM 88063-8904
Phone (575) 642-6940

Other identifiers 1

IdentifierTypeStateIssuer
1194264952MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220404000076 NM Part B Supplier - Clinic/Group Practice 5193111052 Receives reassigned benefits from 5 practitioners
Practice locations: Sunland Park, NM

National Provider Directory

National Provider Directory

Locations

1580 Appaloosa Dr
Ste C310
Sunland Park, NM 88063
Phone (575) 332-9086

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23243/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1114514924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 APPALOOSA DR STE C310",
            "city": "SUNLAND PARK",
            "state": "NM",
            "postal_code": "880638904",
            "telephone_number": "575-642-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 APPALOOSA DR STE C310",
            "city": "SUNLAND PARK",
            "state": "NM",
            "postal_code": "880638904",
            "telephone_number": "575-642-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVA HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-28",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "575-642-6940"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194264952",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunland Park, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.