NPIMap

Organization Active NPI

La Familia Medical Center

Doing business as La Familia Health

  • Federally Qualified Health Center (FQHC)
  • Santa Fe, NM
National Provider Identifier
1336437672
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
LA FAMILIA MEDICAL CENTER
Doing business as
La Familia Health
Practice address
6401 S Richards Ave
Santa Fe, NM 87508-4887
Phone
(505) 984-5048
Fax
(505) 983-4751
NPI assigned
Jul 20, 2011
Last updated
Jan 13, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
LA FAMILIA MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Authorized official

Name
Brandon Vanessa Van Pelt
Title
Ceo
Phone
(505) 424-5683

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NM Primary
Dentist 122300000X
Family Medicine Physician 207Q00000X
Obstetrics & Gynecology Physician 207V00000X

Addresses

Primary practice location

6401 S Richards Ave
Santa Fe, NM 87508-4887

Mailing address

PO Box 5395
Santa Fe, NM 87502-5395
Phone (505) 982-4425

Other names 1

  • La Familia Health Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2099384La Familia Medical Center - Dental Clinic6401 Richards Avenue, Santa Fe, NM 87508Certificate of waiverMar 31, 2027

National Provider Directory

National Provider Directory
Tax ID family
La Familia Medical Cent7 organizations share this tax ID, including this one
Part of
La Familia Medical Cent

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6401 S Richards Ave
Santa Fe, NM 87508
Phone (505) 982-4425

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEGHBA

NPI Registry JSON

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1336437672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5395",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875025395",
            "telephone_number": "505-982-4425",
            "fax_number": "505-982-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 S RICHARDS AVE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875084887",
            "telephone_number": "505-984-5048",
            "fax_number": "505-983-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA FAMILIA MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LA FAMILIA MEDICAL CENTER",
        "enumeration_date": "2011-07-20",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "VAN PELT",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "VANESSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-424-5683"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NM",
            "license": null,
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Familia Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.