NPIMap

Organization Active NPI

Santa Fe Medical Group, LLC

Doing business as Los Alamos Family Health

  • Family Medicine Physician
  • Los Alamos, NM
National Provider Identifier
1437585452
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SANTA FE MEDICAL GROUP, LLC
Doing business as
Los Alamos Family Health
Practice address
1460 Trinity Dr
Suite a
Los Alamos, NM 87544-4106
Phone
(505) 662-0768
Fax
(505) 661-2653
NPI assigned
Sep 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Authorized official

Name
Mrs. Glenda M Kaplan
Title
Credentialing Specialist
Phone
(505) 944-9414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X NM Primary

Addresses

Primary practice location

1460 Trinity Dr
Suite a
Los Alamos, NM 87544-4106

Mailing address

3600 Rodeo LN
Suite a-1
Santa Fe, NM 87507-6400
Phone (505) 474-0120

Other names 1

  • Los Alamos Family Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Santa Fe Medical Group8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1437585452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 RODEO LN",
            "address_2": "SUITE A-1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875076400",
            "telephone_number": "505-474-0120",
            "fax_number": "505-471-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 TRINITY DR",
            "address_2": "SUITE A",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875444106",
            "telephone_number": "505-662-0768",
            "fax_number": "505-661-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA FE MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "505-944-9414",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Alamos Family Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Alamos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.