Sangre de Cristo Heart Center

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

84-112 Issued in NM

Legal business name

SANGRE DE CRISTO HEART CENTER

Practice address

3917 West Road
Suite 101
Los Alamos, NM 87544

Phone

(505) 662-7008

NPI assigned

Jan 20, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Sandoval, MD

Title

Owner

Phone

(505) 662-7008

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1134450885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 WEST ROAD",
            "address_2": "SUITE 101",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "87544",
            "telephone_number": "505-662-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 WEST ROAD",
            "address_2": "SUITE 101",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "87544",
            "telephone_number": "505-662-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANGRE DE CRISTO HEART CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-662-7008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NM",
            "license": "84-112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Roybal, PHARMD
• Camille L Sackett-Wescott, OT
• Mary Salisbury, DOM
• Anthony B Sandoval, MD
• Janet Lee Sandy, APRN-CNP
• Santa Fe Medical Group, LLC
• Santa Fe Zen
• Satori Healing, LLC
• Suzan H Sattell, OTR
• Jeffrey Michael Sauer, DPM

• Cardiovascular Disease Physician in Los Alamos, NM
• Providers in Los Alamos, NM by specialty
• Cardiovascular Disease Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.