Organization Active NPI

Clinica Para Todos

  • Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1295350437
Registry record updated Jun 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CLINICA PARA TODOS
Practice address
7345 Yorktown Ave NE
Albuquerque, NM 87109-5070
Phone
(505) 681-8295
NPI assigned
Jun 13, 2020
Last updated
Jun 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2020

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

Authorized official

Name
Dolores J Cordova, CFNPNPI 1295080471
Title
CFNP
Phone
(575) 644-0480

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
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

7345 Yorktown Ave NE
Albuquerque, NM 87109-5070

Mailing address

7345 Yorktown Ave NE
Albuquerque, NM 87109-5070
Phone (505) 681-8295

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200805002432 NM Part B Supplier - Clinic/Group Practice 8820413040 Receives reassigned benefits from 1 practitioner
Practice locations: Las Cruces, NM

National Provider Directory

National Provider Directory

Locations

2170 E Lohman Ave
Ste A
Las Cruces, NM 88001
Phone (575) 449-7002

2990 N Main St
Ste 2B
Las Cruces, NM 88001
Phone (505) 526-0888

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": "1592006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592006400000",
    "number": "1295350437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 YORKTOWN AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095070",
            "telephone_number": "505-681-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 YORKTOWN AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095070",
            "telephone_number": "505-681-8295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA PARA TODOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-13",
        "last_updated": "2020-06-13",
        "certification_date": "2020-06-13",
        "status": "A",
        "authorized_official_last_name": "CORDOVA",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFNP",
        "authorized_official_telephone_number": "575-644-0480",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "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 Jun 13, 2020; 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.