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Organization Active NPI

Sunrise Clinics

Doing business as Sunrise Clinics - WLV Middle/High SBHC

  • Student Health Clinic/Center
  • Las Vegas, NM
National Provider Identifier
1194408625
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
SUNRISE CLINICS
Doing business as
Sunrise Clinics - WLV Middle/High SBHC
Practice address
1024 S Pacific St
Las Vegas, NM 87701-3415
Phone
(505) 426-2599
Fax
(877) 651-0289
NPI assigned
Aug 10, 2023
Last updated
Jan 28, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SUNRISE CLINICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Authorized official

Name
Jessica Sanchez
Title
Director of HR
Phone
(575) 472-4311

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X NU
Federally Qualified Health Center (FQHC) 261QF0400X NU
Student Health Clinic/Center 261QS1000X NU Primary

Addresses

Primary practice location

1024 S Pacific St
Las Vegas, NM 87701-3415

Mailing address

117 Camino de Vida Ste 300
Santa Rosa, NM 88435-2267
Phone (575) 472-4311

Other identifiers 1

IdentifierTypeStateIssuer
93778562MedicaidNM

Other names 1

  • Sunrise Clinics - WLV Middle/High SBHC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica.sanchez@sunrisnm.org Direct Sunrise Clinics

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250105000005 NM Part A Provider - Federally Qualified Health Center (FQHC) 6800226374 Practice locations: Las Vegas, NM

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194408625. Details of each certification follow.

Federally qualified health center certification: CCN 321004

Legal name
SUNRISE CLINICS
Doing business as
SUNRISE CLINICS - WEST LAS VEGAS SBHC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 16, 2024
Last certification
Dec 16, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
1024 S Pacific Street
Las Vegas, NM 88701

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
Sunrise Clinics29 organizations share this tax ID, including this one
Part of
Sunrise Clinics

Other organizations with this tax ID 28

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

  • Sunrise Clinics

    dba Sunrise Clinics - Santa Rosa High SBHC

    • Federally Qualified Health Center (FQHC)
    • Santa Rosa, NM
    • NPI 1013629526
    NPD tax ID
  • Sunrise Clinics

    dba Sunrise Clinics - Tucumcari Elementary SBHC

    • Student Health Clinic/Center
    • Tucumcari, NM
    • NPI 1043093297
    NPD tax ID
  • Sunrise Clinics

    dba Sunrise Clinics - WLV Louis Armijo SBHC

    • Student Health Clinic/Center
    • Las Vegas, NM
    • NPI 1083497101
    NPD tax ID
  • Sunrise Clinics
    • Federally Qualified Health Center (FQHC)
    • Belen, NM
    • NPI 1083537831
    NPD tax ID
  • Sunrise Clinics

    dba Sunrise Clinics - Santa Rosa Elementary SBHC

    • Federally Qualified Health Center (FQHC)
    • Santa Rosa, NM
    • NPI 1093498396
    NPD tax ID
  • Sunrise Clinics

    dba Sunrise Clinics - WLV Valley Elem/Middle SBHC

    • Federally Qualified Health Center (FQHC)
    • Ribera, NM
    • NPI 1134902372
    NPD tax ID
  • Sunrise Clinics

    dba Sunrise Clinics Moreno Vally High

    • Federally Qualified Health Center (FQHC)
    • Angel Fire, NM
    • NPI 1134903115
    NPD tax ID
  • Sunrise Clinics

    dba Sunrise Clinics - Tony Serna Jr Elementary SBHC

    • Federally Qualified Health Center (FQHC)
    • Las Vegas, NM
    • NPI 1144003344
    NPD tax ID
  • Sunrise Clinics

    dba Sunrise Clinics - Tucumcari Middle SBHC

    • Federally Qualified Health Center (FQHC)
    • Tucumcari, NM
    • NPI 1194508325
    NPD tax ID
  • Sunrise Clinics

    dba Sunrise Clinics - Tucumcari - Main

    • Federally Qualified Health Center (FQHC)
    • Tucumcari, NM
    • NPI 1235932989
    NPD tax ID
  • Sunrise Clinics

    dba Sunrise Clinics - Questa Middle/High SBHC

    • Federally Qualified Health Center (FQHC)
    • Questa, NM
    • NPI 1265115489
    NPD tax ID
  • Sunrise Clinics

    dba Sunrise Clinics - Vaughn SBHC

    • Federally Qualified Health Center (FQHC)
    • Vaughn, NM
    • NPI 1275245284
    NPD tax ID
View all 28

Locations

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

717 S 3rd St
Santa Rosa, NM 88435
Phone (575) 472-3422

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Danica C Gonzales Individual Corporate OfficerChief Financial Officer Jul 31, 2023
Randal W Brown Individual Corporate OfficerChief Executive Officer Jun 26, 2023
Jessica Sanchez Individual W-2 Managing EmployeeHuman Resource Director/Credentiali Jul 31, 2023
Sunrise Clinics Organization, Las Vegas, NM Corporation, Non-profit Operational/Managerial Control Jul 31, 2024 30%

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Sunrise ClinicsSanta Rosa, NM, CCN 321973 Federally qualified health center Operational/Managerial Control (100%) Dec 17, 2019
Sunrise Clinics - LV Behavioral HealthLas Vegas, NM, CCN 321008 Federally qualified health center Operational/Managerial Control (50%) Jan 1, 2025
Sunriseclinics - Las Vegas MainLas Vegas, NM, CCN 321007 Federally qualified health center Operational/Managerial Control (50%) Jan 1, 2025
Sunrise Clinics - NmhuLas Vegas, NM, CCN 321018 Federally qualified health center Operational/Managerial Control Jan 16, 2026

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
    • Federally Qualified Health Center (FQHC)
    • Santa Rosa, NM
    • NPI 1164055927

    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.

Practitioners & affiliated clinicians

Practitioners 8

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": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1194408625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 S PACIFIC ST",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877013415",
            "telephone_number": "505-426-2599",
            "fax_number": "877-651-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE CLINICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNRISE CLINICS",
        "enumeration_date": "2023-08-10",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "DIRECTOR OF HR",
        "authorized_official_telephone_number": "575-472-4311"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93778562",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.sanchez@sunrisnm.org",
            "affiliation": "Y",
            "endpointDescription": "Credentialing",
            "affiliationName": "Sunrise Clinics",
            "use": "DIRECT",
            "useDescription": "Direct",
            "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": [
        {
            "organization_name": "Sunrise Clinics - WLV Middle/High SBHC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunrise Clinics - WLV Middle/High SBHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NM

Sources for this page

Verify at the official NPI Registry.