East West Health - Abq LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

EAST WEST HEALTH - ABQ LLC

Practice address

1500 Lomas Blvd NW Ste B
Albuquerque, NM 87104-1200

Phone

(505) 503-6490

Fax

(505) 503-6495

NPI assigned

Nov 26, 2019

Last updated

Nov 26, 2019By 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

Cade Archibald

Title

Manager

Phone

(435) 406-1752

Specialties & licenses 3

Addresses

Locations

Practitioners 2

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.

• Lynnett Kay Maffucci, D.O.M.

  • Acupuncturist
  • Albuquerque, NM
  • NPI 1184227860
  NPD
• Laura Elizabeth Ponce, L.AC., MSOM, DIPL.OM

  • Acupuncturist
  • Shawnee, KS
  • NPI 1912241902
  NPD (past)

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574726400000",
    "number": "1346886116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 LOMAS BLVD NW STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871041200",
            "telephone_number": "505-503-6490",
            "fax_number": "505-503-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LOMAS BLVD NW STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871041200",
            "telephone_number": "505-503-6490",
            "fax_number": "505-503-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST WEST HEALTH - ABQ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A",
        "authorized_official_last_name": "ARCHIBALD",
        "authorized_official_first_name": "CADE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "435-406-1752"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Early
• Thomas E Earnest Jr., D.O.M.
• Lila Shawn Earwood
• Easi Therapy & Diagnostic Services Inc.
• James M Easom, PHARM.D.
• East West Integrated Pain & Rehab Center LLC
• Cody East, CSW
• Karla East
• Rebecca Easter
• Allyson Easterday

• Physical Medicine & Rehabilitation Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Physical Medicine & Rehabilitation Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.