Organization Active NPI

Sol Mesa Medical Group LLC

  • Medical Specialty Clinic/Center
  • Gallup, NM
National Provider Identifier
1366397010
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
SOL MESA MEDICAL GROUP LLC
Practice address
520 NM-564
Gallup, NM 87301
Phone
(505) 522-3681
Fax
(505) 473-9552
NPI assigned
Feb 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Authorized official

Name
Mr. Joseph Lee Eliason, CNPNPI 1043977721
Title
Co-Owner
Phone
(505) 906-6581

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
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

520 NM-564
Gallup, NM 87301

Mailing address

2418 E Historic Highway 66 # 292
Gallup, NM 87301-4767
Phone (505) 522-3681

Other names 1

  • FRONTIER WOUND SERVICES Doing business as

National Provider Directory

National Provider Directory

Locations

520 NM Highway 564
Gallup, NM 87301
Phone (505) 542-0090

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1772150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1366397010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 E HISTORIC HIGHWAY 66 # 292",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873014767",
            "telephone_number": "505-522-3681",
            "fax_number": "505-473-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 NM-564",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "87301",
            "telephone_number": "505-522-3681",
            "fax_number": "505-473-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOL MESA MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-27",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "ELIASON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "505-906-6581",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRONTIER WOUND SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gallup, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.