Organization Active NPI

Sandia Integrative Health LLC

  • Primary Care Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1194069914
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SANDIA INTEGRATIVE HEALTH LLC
Practice address
4550 Eubank Blvd NE
Suite 205
Albuquerque, NM 87111-3479
Phone
(510) 386-0468
NPI assigned
Nov 16, 2012
Last updated
Nov 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Authorized official

Name
Dr. Suparna Saha, MDNPI 1174770945
Title
Medical Director
Phone
(510) 386-0468

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

4550 Eubank Blvd NE
Suite 205
Albuquerque, NM 87111-3479

Mailing address

4550 Eubank Blvd NE
Suite 205
Albuquerque, NM 87111-3479
Phone (510) 386-0468

National Provider Directory

National Provider Directory

Locations

4550 Eubank Blvd NE
Ste 205
Albuquerque, NM 87111
Phone (510) 386-0468

Practitioners & affiliated clinicians

Practitioners 1

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": "1353024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1194069914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 EUBANK BLVD NE",
            "address_2": "SUITE 205",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113479",
            "telephone_number": "510-386-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 EUBANK BLVD NE",
            "address_2": "SUITE 205",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113479",
            "telephone_number": "510-386-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDIA INTEGRATIVE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-16",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "SAHA",
        "authorized_official_first_name": "SUPARNA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "510-386-0468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.