NPIMap

Organization Active NPI

Oncall Immedaite Medical Care LLC

  • Family Medicine Physician
  • Santa Fe, NM
National Provider Identifier
1245559368
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1000095012 Issued in NM
Legal business name
ONCALL IMMEDAITE MEDICAL CARE LLC
Practice address
431 Saint Michaels Dr
Suite B
Santa Fe, NM 87505-8607
Phone
(505) 954-9949
Fax
(505) 986-0008
NPI assigned
May 28, 2010
Last updated
May 28, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
ONCALL IMMEDIATE MEDICAL CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Authorized official

Name
Dwight C Lopez
Title
Ceo Administrator
Phone
(505) 954-9949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 1000095012 NM Primary

Addresses

Primary practice location

431 Saint Michaels Dr
Suite B
Santa Fe, NM 87505-8607

Mailing address

PO Box 3020
Albuquerque, NM 87190-3020
Phone (505) 954-9949

Other names 1

  • ONCALL IMMEDIATE MEDICAL CLINIC Other name

National Provider Directory

National Provider Directory
Part of
On Call Medical Services LLC

Practitioners & affiliated clinicians

Practitioners 3

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": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275004800000",
    "number": "1245559368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3020",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871903020",
            "telephone_number": "505-954-9949",
            "fax_number": "505-969-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 SAINT MICHAELS DR",
            "address_2": "SUITE B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875058607",
            "telephone_number": "505-954-9949",
            "fax_number": "505-986-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONCALL IMMEDAITE MEDICAL CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ONCALL IMMEDIATE MEDICAL CARE LLC",
        "enumeration_date": "2010-05-28",
        "last_updated": "2010-05-28",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO ADMINISTRATOR",
        "authorized_official_telephone_number": "505-954-9949"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "1000095012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ONCALL IMMEDIATE MEDICAL CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.