NPIMap

Individual provider Active NPI

Patricia Magdalena Rocha, M.D.

  • Family Medicine Physician
  • Grants, NM
National Provider Identifier
1548260052
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2004-0636 Issued in NM
Practice address
1423 E Roosevelt Avenue
Grants, NM 87020-2118
Phone
(505) 287-6500
Fax
(505) 287-9053
NPI assigned
Jul 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A92197 CA
Family Medicine Physician 207Q00000X MD2004-0636 NM Primary

Addresses

Primary practice location

1423 E Roosevelt Avenue
Grants, NM 87020-2118

Mailing address

1423 E Roosevelt Ave
Grants, NM 87020-2245
Phone (505) 287-6500

Other identifiers 1

IdentifierTypeStateIssuer
00A921970MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050115000126 NM Practitioner - Family Practice 8921057050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New Mexico School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Medical ServicesGroup PAC ID 2062324684, shared by 35 NPIs, 132 clinicians

Practice addresses (Care Compare)

1422 Paseo de Peralta
Santa Fe, NM 87501-4391
Phone (505) 982-5565

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A92197CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Medical Services Current Accepting new patients
Presbyterian Medical Services CurrentSince Oct 5, 2015 Accepting new patients
Presbyterian Medical Services Family Medicine CurrentSince Oct 5, 2015 Accepting new patients
Molina Healthcare of California Family Medicine Past Accepting new patients
Garcia, Lee & Concepcion Medical Group Family Medicine Past Accepting new patients
Molina Healthcare of California Family Medicine Past Accepting new patients
Molina Healthcare of California Past Accepting new patients
Hanh Truong, M.D., PA Past Accepting new patients
Garcia Lee and Concepcion Medical Group Inc Family Medicine Past Accepting new patients
Molina Medical Centers Family Medicine Past Accepting new patients

Locations

1217 Bonita St
Grants, NM 87020
Phone (505) 287-2950

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

Interoperability endpoints

  • Direct secure messaging: patricia.rocha.p1@direct.pmsnm.nextgenshare.com
  • Direct secure messaging: procha0@yourcarecommunity.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1548260052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 E ROOSEVELT AVE",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "870202245",
            "telephone_number": "505-287-6500",
            "fax_number": "505-287-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 E ROOSEVELT AVENUE",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "870202118",
            "telephone_number": "505-287-6500",
            "fax_number": "505-287-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHA",
        "first_name": "PATRICIA",
        "middle_name": "MAGDALENA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A92197",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2004-0636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A921970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants, NM

Sources for this page

Verify at the official NPI Registry.