Organization Active NPI

Monte Bello Medical

  • Podiatrist
  • Las Cruces, NM
National Provider Identifier
1164415782
Registry record updated Nov 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
MONTE BELLO MEDICAL
Practice address
3851 E Lohman Ave Ste 4
Las Cruces, NM 88011-8296
Phone
(575) 993-5611
Fax
(575) 483-7224
NPI assigned
Aug 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2025

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

Authorized official

Name
Yolanda Delgado
Title
Ceo
Phone
(575) 993-5611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

3851 E Lohman Ave Ste 4
Las Cruces, NM 88011-8296

Mailing address

3851 E Lohman Ave Ste 4
Las Cruces, NM 88011-8296
Phone (575) 993-5611

Other identifiers 2

IdentifierTypeStateIssuer
DA5269OtherNMRR MEDICARE
NM015A04OtherNMBCBS OF NM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031210000594 NM Part B Supplier - Clinic/Group Practice 0042116030 Receives reassigned benefits from 3 practitioners
Practice locations: Las Cruces, NM

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2275719Monte Bello Medical, LLC3851 E Lohman Ave Ste 4, Las Cruces, NM 88011Provider-performed microscopyJan 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
Monte Bello Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1400 El Paseo Rd
Ste A
Las Cruces, NM 88001
Phone (575) 522-2776

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762646400000",
    "number": "1164415782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 E LOHMAN AVE STE 4",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118296",
            "telephone_number": "575-993-5611",
            "fax_number": "575-483-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 E LOHMAN AVE STE 4",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118296",
            "telephone_number": "575-993-5611",
            "fax_number": "575-483-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTE BELLO MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2025-11-09",
        "certification_date": "2025-11-09",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "575-993-5611"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DA5269",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NM",
            "identifier": "NM015A04",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.