Organization Active NPI

PA Health Care Inc

  • General Practice Physician
  • Albuquerque, NM
National Provider Identifier
1295379675
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PA HEALTH CARE INC
Practice address
400 Gold Ave SW Ste 220
Albuquerque, NM 87102-3278
Phone
(505) 261-5184
NPI assigned
Oct 29, 2019
Last updated
Nov 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Authorized official

Name
Rolando Cepero
Title
President
Phone
(505) 261-5184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

400 Gold Ave SW Ste 220
Albuquerque, NM 87102-3278

Mailing address

400 Gold Ave SW Ste 655
Albuquerque, NM 87102-3654
Phone (505) 261-5184

National Provider Directory

National Provider Directory

Locations

400 Gold Ave SW
Ste 220
Albuquerque, NM 87102
Phone (505) 261-5184

400 Gold Ave SW
Ste 655
Albuquerque, NM 87102

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1295379675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GOLD AVE SW STE 655",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023654",
            "telephone_number": "505-261-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GOLD AVE SW STE 220",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023278",
            "telephone_number": "505-261-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PA HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "CEPERO",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-261-5184"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "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 Nov 19, 2019; 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.