Organization Active NPI

Sandia Health Institute PC

  • Podiatrist
  • Albuquerque, NM
National Provider Identifier
1255455234
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
NM287 Issued in NM
Legal business name
SANDIA HEALTH INSTITUTE PC
Practice address
3900 Eubank Blvd NE
Ste 18
Albuquerque, NM 87111-3427
Phone
(505) 881-1585
Fax
(505) 828-3901
NPI assigned
Mar 16, 2007
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. Andy Ngoc Ho, DPMNPI 1023124203
Title
Podiatrist President
Phone
(505) 217-4029

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X NM287 NM Primary

Addresses

Primary practice location

3900 Eubank Blvd NE
Ste 18
Albuquerque, NM 87111-3427

Mailing address

3900 Eubank Blvd NE
Ste 18
Albuquerque, NM 87111-3427
Phone (505) 881-1585

Other identifiers 1

IdentifierTypeStateIssuer
213E00000XMedicaidNM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041218000108 NM Part B Supplier - Clinic/Group Practice 1951368257 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

4200 Carlisle Blvd NE
Albuquerque, NM 87107
Phone (505) 514-2900

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": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1255455234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 EUBANK BLVD NE",
            "address_2": "STE 18",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113427",
            "telephone_number": "505-881-1585",
            "fax_number": "505-828-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 EUBANK BLVD NE",
            "address_2": "STE 18",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113427",
            "telephone_number": "505-881-1585",
            "fax_number": "505-828-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDIA HEALTH INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "ANDY",
        "authorized_official_middle_name": "NGOC",
        "authorized_official_title_or_position": "PODIATRIST PRESIDENT",
        "authorized_official_telephone_number": "505-217-4029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NM",
            "license": "NM287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213E00000X",
            "state": "NM"
        }
    ],
    "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 Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.