Individual provider Active NPI

Claudia Gabriela Marin-Villalobos

  • Medical Physician Assistant
  • Santa Fe, NM
National Provider Identifier
1346976339
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA2024-0020 Issued in NM
Practice address
330 Garfield St Ste 202
Santa Fe, NM 87501-2677
Phone
(505) 992-0233
NPI assigned
Aug 1, 2022
Last updated
Apr 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA2024-0020 NM Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

330 Garfield St Ste 202
Santa Fe, NM 87501-2677

Mailing address

330 Garfield St Ste 202
Santa Fe, NM 87501-2677
Phone (505) 992-0233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240411000995 NM Practitioner - Physician Assistant 3779921663 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2024-0020NMMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: cmarinvillalobos323904@christushealth.direct-ci.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1346976339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 GARFIELD ST STE 202",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012677",
            "telephone_number": "505-992-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 GARFIELD ST STE 202",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012677",
            "telephone_number": "505-992-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN-VILLALOBOS",
        "first_name": "CLAUDIA",
        "middle_name": "GABRIELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-01",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "PA2024-0020",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.