NPIMap

Organization Active NPI

High Desert Pedicatrics PC

  • Pediatrics Physician
  • Albuquerque, NM
National Provider Identifier
1437395332
Registry record updated Dec 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
HIGH DESERT PEDICATRICS PC
Practice address
8650 Almeda Boulevard, NE
Unit 101 E
Albuquerque, NM 87122
Phone
(505) 255-1866
Fax
(505) 255-1852
NPI assigned
Dec 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2008

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

Authorized official

Name
Ibuki Suga, MDNPI 1619086949
Title
Owner/Administrator
Phone
(505) 255-1866

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

8650 Almeda Boulevard, NE
Unit 101 E
Albuquerque, NM 87122

Mailing address

8650 Almeda Boulevard, NE
Unit 101 E
Albuquerque, NM 87122
Phone (505) 255-1866

National Provider Directory

National Provider Directory

Locations

8650 Alameda Blvd NE
Ste 101E
Albuquerque, NM 87122
Phone (505) 255-1866

8650 Alameda Blvd NE
Ste 101
Albuquerque, NM 87122
Phone (505) 255-1866

Practitioners & affiliated clinicians

Practitioners 7

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": "1229990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229990400000",
    "number": "1437395332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8650 ALMEDA BOULEVARD, NE",
            "address_2": "UNIT 101 E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87122",
            "telephone_number": "505-255-1866",
            "fax_number": "505-255-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8650 ALMEDA BOULEVARD, NE",
            "address_2": "UNIT 101 E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87122",
            "telephone_number": "505-255-1866",
            "fax_number": "505-255-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT PEDICATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-23",
        "last_updated": "2008-12-23",
        "status": "A",
        "authorized_official_last_name": "SUGA",
        "authorized_official_first_name": "IBUKI",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "505-255-1866",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; 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.