Las Clinicas del Norte Incorporated
Organization Active NPI Student Health Clinic/Center · Santa Fe, NM
NPI 1508035718 · NPPES record last updated May 27, 2026
Key facts
- NPI
- 1508035718
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Student Health Clinic/Center 261QS1000X
- Legal business name
- LAS CLINICAS DEL NORTE INCORPORATED
- Practice address
- 1574 State Road 502
Santa Fe, NM 87506 - Phone
- (505) 455-4026
- Fax
- (575) 581-4728
- NPI assigned
- Feb 22, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- LAS CLINICAS DEL NORTE INCORPORATED
Authorized official
- Name
- Mrs. Andrea Sandoval
- Title
- Ceo
- Phone
- (575) 581-4728
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 4
Practitioners 13
-
Robert Winthrop Deane, LPCC
-
Luigi Alberto Dulanto, M.D.
-
Cynthia Ann Goldblatt, LPCC
-
Adriana Gonzales, DNP, FNP-C
-
Ricardo R Gonzales, PH.D
-
Joshua Daniel Lehrer, MSN, APRN, FNP-C
-
Dietta Dawn Lence, FNP
-
Brenda A Alcocer, APRN
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D2234050 | Pojoaque Valley High School | Certificate of waiver | Aug 26, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Federally qualified health center certification: CCN 321937
- Legal name
- LAS CLINICAS DEL NORTE, INCORPORATED
- Doing business as
- POJOAQUE VALLEY SCHOOL BASED CLINIC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Dec 15, 2014
- Last certification
- Dec 15, 2014
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jun 21, 1972 in NM
- Enrollment address
- 1574 State Road 502
Pojoaque Valley School Based Clinic
Santa Fe, NM 87506-2697
All disclosed owners & managing parties 4
| Name | Role | Since | Share |
|---|---|---|---|
| Sophie Garcia |
Corporate Officer |
Mar 1, 2011 | |
| Pauline Varoz |
Corporate Officer |
Jun 1, 2005 | |
| Kathleen Ngirbedul |
Corporate Director |
Dec 3, 2001 | 50% |
| W-2 Managing Employee |
Dec 3, 2001 | ||
| Andrea Sandoval |
Contracted Managing Employee |
Jul 1, 2018 | 100% |
| Corporate Director |
Jul 1, 2018 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141215002281 | NM | Part a Provider - Federally Qualified Health Center (FQHC) | 1456252428 | Practice locations: Santa Fe, NM |
National Provider Directory
- Tax ID family
- Las Clinicas del Norte Inc
- Part of
- Las Clinicas del Norte Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student Health Clinic/Center | 261QS1000X | Yes |
Addresses
Primary practice location
1574 State Road 502
Santa Fe, NM 87506
Mailing address
571 St Rd BLDG 28
El Rito, NM 87530-0237
Phone (575) 581-4728
Other names
- Pojoaque Valley High School Based Clinic
Other providers in Santa Fe, NM
- Larry Rayburn Psychotherapy
- Madeleine Fisher Larsen
- Philip Reed Larsen Jr.
- Robert Charles Larsen
- Las Clinicas del Norte Incorporated
- Ann F Laser
- Christin Shivani Lash
- Lance Lashley
- Amy Anna Lashway
- Allison Irene Lasky
All providers in Santa Fe, NM · Student Health Clinic/Center in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.