Los Alamos Family Practice P a

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

LOS ALAMOS FAMILY PRACTICE P A

Practice address

3917 West Rd
Suite 130
Los Alamos, NM 87544-2275

Phone

(505) 662-2900

NPI assigned

Apr 11, 2007

Last updated

Nov 1, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Phillip Alan Hertzman, M.D.NPI 1659463784

Title

President

Phone

(505) 662-2900

Specialties & licenses 1

Addresses

Locations

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.

• Phillip Hertzman, M.D.

  • Adult Medicine Physician
  • Los Alamos, NM
  • NPI 1659463784
  Authorized official Same address or phone

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1285857664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 WEST RD",
            "address_2": "SUITE 130",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 WEST RD",
            "address_2": "SUITE 130",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442275",
            "telephone_number": "505-662-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ALAMOS FAMILY PRACTICE P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "HERTZMAN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-662-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Los Alamos Assisted Living LLC
• Los Alamos Chiropractic Center
• Los Alamos Emergency Medical Associates Inc
• Los Alamos Family Council, Inc.
• Los Alamos Family Eyecare, P.C.
• Los Alamos Medical Care Clinic LTD
• Los Alamos NM Endoscopy ASC LLC (The Endoscopy Center of Los Alamos)
• Los Alamos Pediatric Clinic
• Los Alamos Physician Practices LLC (Los Alamos Hospitalist Group)
• Los Alamos Physician Practices LLC (Los Alamos Surgical Assoc - Orthopedics)

• Adult Medicine Physician in Los Alamos, NM
• Providers in Los Alamos, NM by specialty
• Adult Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.