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Sunrise Clinics

Organization Active NPI Federally Qualified Health Center (FQHC) · Santa Rosa, NM

NPI 1164055927 · NPPES record last updated Mar 11, 2026

Key facts

NPI
1164055927
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
SUNRISE CLINICS
Practice address
117 Camino de Vida Ste 300
Santa Rosa, NM 88435-2267
Phone
(575) 472-4311
Fax
(877) 651-0289
NPI assigned
Feb 19, 2020
Organization subpart
No

Authorized official

Name
Dr. Randal W Brown, MD NPI 1376636159
Title
Ceo
Phone
(575) 472-4311

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Randal Warren Brown, M.D. Family Medicine Physician · Santa Rosa, NM · NPI 1376636159
    CMS ownership CORPORATE OFFICER · OPERATIONAL/MANAGERIAL CONTROL · W-2 MANAGING EMPLOYEE
  • Sunrise Clinics Student Health Clinic/Center · Las Vegas, NM · NPI 1194408625
    CMS ownership OPERATIONAL/MANAGERIAL CONTROL
  • Sunrise Clinics Federally Qualified Health Center (FQHC) · Las Vegas, NM · NPI 1376326942
    CMS ownership OPERATIONAL/MANAGERIAL CONTROL

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 39

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

View all 39

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D0920589Sunrise Clinics
117 Camino de Vida, Suite 300, Santa Rosa, NM 88435		Certificate of waiverNov 29, 2026
32D2171345Sunrise Clinics - Tucumcari High
1001 S 7TH Street, Tucumcari, NM 88401		Certificate of waiverAug 28, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled (8 enrollments) in NM

Federally qualified health center certification: CCN 321973

Legal name
SUNRISE CLINICS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 17, 2021
Last certification
Mar 17, 2021
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Incorporated
Dec 17, 2019 in NM
Enrollment address
117 Camino de Vida
Ste 300
Santa Rosa, NM 88435-2267

Federally qualified health center certification: CCN 321012

Legal name
SUNRISE CLINICS
Doing business as
SUNRISE CLINICS - TUCUMCARI HIGH SBHC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 1, 2025
Last certification
May 1, 2025
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Enrollment address
1001 S 7TH Street
Tucumcari, NM 88401

Federally qualified health center certification: CCN 321008

Legal name
SUNRISE CLINICS
Doing business as
SUNRISE CLINICS - LV BEHAVIORAL HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 1, 2025
Last certification
May 1, 2025
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Enrollment address
2020 7TH St
Las Vegas, NM 87701-4958

Federally qualified health center certification: CCN 321007

Legal name
SUNRISE CLINICS
Doing business as
SUNRISECLINICS - LAS VEGAS MAIN
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 1, 2025
Last certification
May 1, 2025
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Enrollment address
2515 Ridge Runner Rd
Las Vegas, NM 87701-4972

Federally qualified health center certification: CCN 321009

Legal name
SUNRISE CLINICS
Doing business as
SUNRISE CLINICS-SANTA ROSA HIGH SBHC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 25, 2025
Last certification
Jun 25, 2025
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Enrollment address
717 S 3Rd St
Santa Rosa, NM 88435-2411

Federally qualified health center certification: CCN 321010

Legal name
SUNRISE CLINICS
Doing business as
SUNRISE CLINICS- TUCUMCARI MAIN
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 25, 2025
Last certification
Jun 25, 2025
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Enrollment address
220 S 3Rd St
Tucumcari, NM 88401-2802

Federally qualified health center certification: CCN 321011

Legal name
SUNRISE CLINICS
Doing business as
SUNRISE CLINICS - RATON MAIN
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 3, 2025
Last certification
Jul 3, 2025
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Enrollment address
166 Hospital Dr
Raton, NM 87740-2002

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Alex Carone
Individual 		Corporate Director
Board Member		 Mar 4, 2020
Mandelyn Cordova
Individual 		Corporate Director
Board Member		 Mar 4, 2020
George Dodge
Individual 		Corporate Director
Board Member		 Mar 4, 2020
Vince Howell
Individual 		Corporate Director
Board Member		 Mar 4, 2020
Lorraine Madrid
Individual 		Corporate Director
Board Member		 Mar 4, 2020
Randal W Brown
Individual 		Corporate Officer
Ceo		 Dec 17, 2019
W-2 Managing Employee
Ceo		 Feb 1, 2020 100%
Operational/Managerial Control
Ceo		 Dec 17, 2019 100%
Corporate Officer
Chief Executive Officer		 Jun 1, 2020
Greg Stuart
Individual 		Corporate Officer
Cfo and Admin Director		 Dec 17, 2019
W-2 Managing Employee
Cfo and Admin Director		 Dec 17, 2019
Jessica Sanchez
Individual 		W-2 Managing Employee
Director of HR		 Dec 17, 2019
Corporate Officer
Chief Executive Officer		 Jun 1, 2020
W-2 Managing Employee
Ad;		 Jun 1, 2020
W-2 Managing Employee Jun 1, 2020
Operational/Managerial Control
Chief Executive Officer		 Jun 1, 2020
W-2 Managing Employee
Director of Human Resources		 Jun 1, 2020 100%
W-2 Managing Employee
Director of Human Resources		 Jun 1, 2020
Sunrise Clinics
Organization · Santa Rosa, NM
Non-profit 		Operational/Managerial Control Dec 17, 2019 100%
Operational/Managerial Control Jan 1, 2025 50%
Randy Davis
Individual 		Corporate Director
Vice President of the Board		 Mar 4, 2020
Ethan Fuchs
Individual 		Corporate Director
President of the Board		 Mar 4, 2020
Joann Velasquez
Individual 		Corporate Director
Secretary & Treasurer of the Board		 Mar 4, 2020
Danica C Gonzales
Individual 		5% Or Greater Security Interest
Chief Executive Officer		 Jan 1, 2025 5%
Corporate Officer
Chief Financial Officer		 Jan 1, 2025
5% Or Greater Security Interest
Chief Financial Officer		 Jan 1, 2025 5%
5% Or Greater Security Interest Jan 1, 2025 5%
Corporate Officer
Chief Executive Officer		 Jan 1, 2025

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sunrise Clinics - West Las Vegas SBHC
Las Vegas, NM · CCN 321004		 Federally qualified health center Operational/Managerial Control (30%) Jul 31, 2024
Sunrise Clinics - Nmhu
Las Vegas, NM · CCN 321018		 Federally qualified health center Operational/Managerial Control Jan 16, 2026

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20200423002808 NM Part B Supplier - Clinic/Group Practice 6800226374 Receives reassigned benefits from 31 practitioners
Practice locations: Las Vegas, NM; Tucumcari, NM; Santa Rosa, NM; Raton, NM
O20210317002563 NM Part a Provider - Federally Qualified Health Center (FQHC) 6800226374 Practice locations: Santa Rosa, NM
O20250505003338 NM Part a Provider - Federally Qualified Health Center (FQHC) 6800226374 Practice locations: Tucumcari, NM
O20250506003507 NM Part a Provider - Federally Qualified Health Center (FQHC) 6800226374 Practice locations: Las Vegas, NM
O20250529004142 NM Part a Provider - Federally Qualified Health Center (FQHC) 6800226374 Practice locations: Las Vegas, NM
O20250709000717 NM Part a Provider - Federally Qualified Health Center (FQHC) 6800226374 Practice locations: Santa Rosa, NM
O20250717001633 NM Part a Provider - Federally Qualified Health Center (FQHC) 6800226374 Practice locations: Tucumcari, NM
O20250730002399 NM Part a Provider - Federally Qualified Health Center (FQHC) 6800226374 Practice locations: Raton, NM

National Provider Directory

Locations

1024 S Pacific St
Las Vegas, NM 87701
Phone (505) 426-2564

901 Baca St
Las Vegas, NM 87701
Phone (505) 454-3218

901 Baca
Las Vegas, NM 87701

117 Camino de Vida
Ste 300
Santa Rosa, NM 88435
Phone (575) 472-4311

220 S 3rd St
Tucumcari, NM 88401
Phone (505) 461-6351

220 S 3rd St
#300
Tucumcari, NM 88401
Phone (575) 461-8631

1100 S 7th St
Tucumcari, NM 88401
Phone (575) 461-3830

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193200000X MULTI-SPECIALTY GROUP		 101YP2500X
Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP		 104100000X
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X Yes
Primary Care Clinic/Center 261QP2300X
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363L00000X

Addresses

Primary practice location

117 Camino de Vida Ste 300
Santa Rosa, NM 88435-2267

Mailing address

117 Camino de Vida
Santa Rosa, NM 88435-2267
Phone (575) 472-4311

Other practice location 1

2020 7th St
Las Vegas, NM 87701-4958
Phone (505) 434-0119

Other practice location 2

166 Hospital Dr
Raton, NM 87740-2002
Phone (575) 445-3626

Other practice location 3

2515 Ridge Runner Rd
Las Vegas, NM 87701-4972
Phone (505) 434-0119

Other practice location 4

220 S 3rd St
Tucumcari, NM 88401-2802
Phone (575) 461-8631

Other identifiers

IdentifierTypeStateIssuer
93778562MedicaidNM

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address jessica.sanchez@sunrisenm.org Direct

Other providers in Santa Rosa, NM

All providers in Santa Rosa, NM · Federally Qualified Health Center (FQHC) in New Mexico

Sources for this page

Verify at the official NPI Registry.