NPIMap

Organization Active NPI

La Clinica de Familia, Incorporated

Doing business as La Clinica De Familia Central Medical

  • Federally Qualified Health Center (FQHC)
  • Las Cruces, NM
National Provider Identifier
1528424397
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
LA CLINICA DE FAMILIA, INCORPORATED
Doing business as
La Clinica De Familia Central Medical
Practice address
575 S Alameda Blvd
Las Cruces, NM 88005-2818
Phone
(575) 528-6400
Fax
(575) 528-5539
NPI assigned
Jan 11, 2016
Last updated
May 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Authorized official

Name
Virgil Medina
Title
Chief Executive Officer
Phone
(575) 526-1105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

575 S Alameda Blvd
Las Cruces, NM 88005-2818

Mailing address

385 Calle de Alegra
BLDG. a
Las Cruces, NM 88005-3423
Phone (575) 526-1105

Other names 1

  • La Clinica De Familia Central Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031231000076 NM Part B Supplier - Clinic/Group Practice 6305745191 Receives reassigned benefits from 141 practitioners
22 other NPIs on this enrollment
Practice locations: Sunland Park, NM; Santa Teresa, NM; Mesilla, NM; Las Cruces, NM; Anthony, NM; Chaparral, NM; La Mesa, NM
O20160728002345 NM Part A Provider - Federally Qualified Health Center (FQHC) 6305745191 Practice locations: Las Cruces, NM

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528424397. Details of each certification follow.

Federally qualified health center certification: CCN 321943

Legal name
LA CLINICA DE FAMILIA INCORPORATED
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 27, 2016
Last certification
Jul 27, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 12, 1978 in NM
Enrollment address
575 S Alameda Blvd
Las Cruces, NM 88005-2818

Other NPIs with the same Medicare PAC ID 19

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 19

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

National Provider Directory

National Provider Directory

Locations

575 S Alameda Blvd
Las Cruces, NM 88005
Phone (575) 528-6400

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Virgil Medina Individual Corporate OfficerInterim Ceo Apr 28, 2017
W-2 Managing EmployeeInterim Ceo Apr 28, 2017

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
LCDF Gadsden School BaseAnthony, NM, CCN 321951 Federally qualified health center Operational/Managerial Control Aug 1, 2016
La Clinica de Familia IncorporatedChaparral, NM, CCN 321954 Federally qualified health center Operational/Managerial Control Jul 1, 2016
La Clinica de Familia IncorporatedAnthony, NM, CCN 321968 Federally qualified health center Operational/Managerial Control Oct 22, 2019
Picacho Middle School - School Base Health CenterLas Cruces, NM, CCN 321002 Federally qualified health center Operational/Managerial Control Jul 12, 2023
Mayfield High School - School Based Health CenterLas Cruces, NM, CCN 321014 Federally qualified health center Operational/Managerial Control Sep 1, 2025
Organ Mountain High School - School Based Health CenterLas Cruces, NM, CCN 321015 Federally qualified health center Operational/Managerial Control Sep 1, 2025

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 144

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.

View all 144

NPI Registry JSON

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1528424397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 CALLE DE ALEGRA",
            "address_2": "BLDG. A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053423",
            "telephone_number": "575-526-1105",
            "fax_number": "575-524-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 S ALAMEDA BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052818",
            "telephone_number": "575-528-6400",
            "fax_number": "575-528-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA CLINICA DE FAMILIA, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "VIRGIL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "575-526-1105"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Clinica De Familia Central Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "La Clinica De Familia Central Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.