Sunrise Clinics

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 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

Last updated

Mar 11, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Randal W Brown, MDNPI 1376636159

Title

Ceo

Phone

(575) 472-4311

Specialties & licenses 6

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NM8 enrollments

Enrollment records 8

NPI to CCN mapping 7

The Medicare certification numbers (CCNs) connected to NPI 1164055927. Details of each certification follow.

• CCN 321973 Federally qualified health center · Active · Details
• CCN 321012 Federally qualified health center · Active · Details
• CCN 321008 Federally qualified health center · Active · Details
• CCN 321007 Federally qualified health center · Active · Details
• CCN 321009 Federally qualified health center · Active · Details
• CCN 321010 Federally qualified health center · Active · Details
• CCN 321011 Federally qualified health center · Active · Details

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

CorporationNon-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

CorporationNon-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

CorporationNon-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

CorporationNon-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

CorporationNon-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

CorporationNon-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

CorporationNon-profit

Enrollment address

166 Hospital Dr
Raton, NM 87740-2002

Other NPIs with the same Medicare PAC ID 2

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

• Sunrise Clinics

  dba Sunrise Clinics - WLV Middle/High SBHC

  • Student Health Clinic/Center
  • Las Vegas, NM
  • NPI 1194408625

  6800226374

  Same PAC ID
• Sunrise Clinics

  dba Sunrise Clinics - NMHU

  • Federally Qualified Health Center (FQHC)
  • Las Vegas, NM
  • NPI 1376326942

  6800226374

  Same PAC ID

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

CLIA laboratory certificates

Locations

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.

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

  Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Sunrise Clinics

  dba Sunrise Clinics - WLV Middle/High SBHC

  • Student Health Clinic/Center
  • Las Vegas, NM
  • NPI 1194408625

  Operational/Managerial Control

  CMS ownership
• Sunrise Clinics

  dba Sunrise Clinics - NMHU

  • Federally Qualified Health Center (FQHC)
  • Las Vegas, NM
  • NPI 1376326942

  Operational/Managerial Control

  CMS ownership

All facility ownership & control disclosures 2

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

Owned or controlled facilities with NPI records 2

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

• Sunrise Clinics

  dba Sunrise Clinics - WLV Middle/High SBHC

  • Student Health Clinic/Center
  • Las Vegas, NM
  • NPI 1194408625

  Operational/Managerial Control

  CMS ownership
• Sunrise Clinics

  dba Sunrise Clinics - NMHU

  • Federally Qualified Health Center (FQHC)
  • Las Vegas, NM
  • NPI 1376326942

  Operational/Managerial Control

  CMS ownership

Facilities with the same owner 2

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

• Sunrise Clinics

  dba Sunrise Clinics - WLV Middle/High SBHC

  • Student Health Clinic/Center
  • Las Vegas, NM
  • NPI 1194408625

  Sunrise Clinics

  CMS ownership
• Sunrise Clinics

  dba Sunrise Clinics - NMHU

  • Federally Qualified Health Center (FQHC)
  • Las Vegas, NM
  • NPI 1376326942

  Sunrise Clinics

  CMS ownership

Practitioners 35

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.

• Chloe Marie Abreu, FNP-C

  • Family Nurse Practitioner
  • Taos, NM
  • NPI 1184382384
  Medicare reassignment Care Compare group NPD
• Manuel J Allemand, LMHC

  • Mental Health Counselor
  • Las Vegas, NM
  • NPI 1912472655
  Medicare reassignment Care Compare group NPD
• Pamela Ammons, NP-C

  • Family Nurse Practitioner
  • Raton, NM
  • NPI 1679138671
  Medicare reassignment Care Compare group NPD
• Randal Warren Brown, M.D.

  • Family Medicine Physician
  • Santa Rosa, NM
  • NPI 1376636159
  Medicare reassignment NPD Authorized official
• Senora L Campos

  • Family Nurse Practitioner
  • Santa Rosa, NM
  • NPI 1225695018
  Medicare reassignment Care Compare group NPD
• Clarissa Garcia, NP

  • Family Nurse Practitioner
  • Mora, NM
  • NPI 1740949049
  Medicare reassignment Care Compare group NPD
• Marie Yvette Garcia, LMSW

  • Social Worker
  • Las Vegas, NM
  • NPI 1780112599
  Medicare reassignment Care Compare group NPD
• Chelsea Gutierrez, LMSW

  • Social Worker
  • Santa Fe, NM
  • NPI 1891117552
  Medicare reassignment Care Compare group NPD
• Jaylen Gutierrez, CNP

  • Family Nurse Practitioner
  • Las Vegas, NM
  • NPI 1891664306
  Medicare reassignment Care Compare group NPD
• Vanessa D Lucero, LMSW

  • Clinical Social Worker
  • Santa Fe, NM
  • NPI 1578288833
  Medicare reassignment Care Compare group NPD
• Laura Mardo, CNP

  • Family Nurse Practitioner
  • Santa Rosa, NM
  • NPI 1720432271
  Medicare reassignment Care Compare group NPD
• Guadalupe S Mata, CNP

  • Family Nurse Practitioner
  • Santa Rosa, NM
  • NPI 1700608775
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1164055927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 CAMINO DE VIDA",
            "city": "SANTA ROSA",
            "state": "NM",
            "postal_code": "884352267",
            "telephone_number": "575-472-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 CAMINO DE VIDA STE 300",
            "city": "SANTA ROSA",
            "state": "NM",
            "postal_code": "884352267",
            "telephone_number": "575-472-4311",
            "fax_number": "877-651-0289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2515 Ridge Runner Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NM",
            "postal_code": "877014972",
            "country_code": "US",
            "telephone_number": "505-434-0119",
            "fax_number": "877-553-1272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2020 7th St",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NM",
            "postal_code": "877014958",
            "country_code": "US",
            "telephone_number": "505-434-0119",
            "fax_number": "877-553-1272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Tucumcari",
            "state": "NM",
            "postal_code": "884012802",
            "country_code": "US",
            "telephone_number": "575-461-8631",
            "fax_number": "888-708-0683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "166 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Raton",
            "state": "NM",
            "postal_code": "877402002",
            "country_code": "US",
            "telephone_number": "575-445-3626",
            "fax_number": "877-592-0809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUNRISE CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "575-472-4311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93778562",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.sanchez@sunrisenm.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Credentialing",
            "address_1": "117 Camino De Vida Ste 300",
            "city": "Santa Rosa",
            "state": "NM",
            "country_code": "US",
            "postal_code": "884352267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adrian Soliz, BMS
• Jason Storey
• Samantha Sullivan
• Sunrise Clinics (Sunrise Clinics - Santa Rosa High SBHC)
• Sunrise Clinics (Sunrise Clinics - Santa Rosa Elementary SBHC)
• Sunrise Clinics (Sunrise Clinics - Santa Rosa Middle SBHC)
• Sunrise Medical Group, PC
• Teambuilders Behavioral Health, LLC
• Estela Tenorio-Thompson
• Melissa Mae Thomas

• Federally Qualified Health Center (FQHC) in Santa Rosa, NM
• Providers in Santa Rosa, NM by specialty
• Federally Qualified Health Center (FQHC) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.

Verify at the official NPI Registry.