La Familia Primary Care P C

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

96-165 Issued in NM

Legal business name

LA FAMILIA PRIMARY CARE P C

Practice address

190 Hospital Dr
Raton, NM 87740-2002

Phone

(575) 445-5563

Fax

(575) 445-5566

NPI assigned

Oct 23, 2006

Last updated

Nov 23, 2022By 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

Misbah D Zmily, M.D.NPI 1285735332

Title

Ownerpresident

Phone

(505) 445-5563

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 5

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.

• Misbah Darweesh Zmily, MD

  • Internal Medicine Physician
  • Raton, NM
  • NPI 1285735332
  Medicare reassignment Care Compare group NPD Authorized official
• Tamara S Burris, FNP-C

  • Family Nurse Practitioner
  • Silver City, NM
  • NPI 1750787339
  Medicare reassignment Care Compare group NPD
• Amy Charlene Ford, NP

  • Family Nurse Practitioner
  • Raton, NM
  • NPI 1497840284
  Medicare reassignment Care Compare group NPD
• Mark H Bayliss, PA-C

  • Medical Physician Assistant
  • Raton, NM
  • NPI 1194822122
  Medicare reassignment Care Compare group
• Hugh Edward Naylor III, HUGH NAYLOR M.D.

  • Internal Medicine Physician
  • Raton, NM
  • NPI 1053387282
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1366525537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 HOSPITAL DR",
            "city": "RATON",
            "state": "NM",
            "postal_code": "877402002",
            "telephone_number": "575-445-5563",
            "fax_number": "575-445-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 HOSPITAL DR",
            "city": "RATON",
            "state": "NM",
            "postal_code": "877402002",
            "telephone_number": "575-445-5563",
            "fax_number": "575-445-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA FAMILIA PRIMARY CARE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "ZMILY",
        "authorized_official_first_name": "MISBAH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNERPRESIDENT",
        "authorized_official_telephone_number": "505-445-5563",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NM",
            "license": "96-165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse J Johnson, BMS
• Dionicio Jojola, BMS
• Ted Kamp, DPT
• Traci Kamp, DPT
• La Familia Primary Care
• Lancer Health Group, LLC
• Claudia Monica Lange, LMSW
• Sara Jessanne Lark, FNP
• Laurel Escano Laurel
• Margo Leavitt

• Clinic/Center in Raton, NM
• Providers in Raton, NM by specialty
• Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.