Organization Active NPI

Guido a Leon MD PA

Doing business as Southwest Cardiovascular Center Inc

  • Cardiovascular Disease Physician
  • Las Cruces, NM
National Provider Identifier
1548308208
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
GUIDO A LEON MD PA
Doing business as
Southwest Cardiovascular Center Inc
Practice address
1255 S Telshor Blvd
Las Cruces, NM 88011-4748
Phone
(575) 522-0300
Fax
(505) 522-4366
NPI assigned
Feb 2, 2007
Last updated
Aug 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Authorized official

Name
Dr. Guido Leon, MDNPI 1841365194
Title
Owner
Phone
(575) 522-0300

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
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

1255 S Telshor Blvd
Las Cruces, NM 88011-4748

Mailing address

PO Box 1560
Las Cruces, NM 88004-1560
Phone (505) 647-8366

Other identifiers 1

IdentifierTypeStateIssuer
15882756MedicaidNM

Other names 1

  • Southwest Cardiovascular Center Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050720000400 NM Part B Supplier - Clinic/Group Practice 6709813868 Receives reassigned benefits from 3 practitioners
Practice locations: Las Cruces, NM

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D0710450Southwest Cardiovascular Center1255 South Telshor, Las Cruces, NM 88011Certificate of waiverApr 23, 2028

National Provider Directory

National Provider Directory

Locations

1255 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-0300

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1548308208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1560",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880041560",
            "telephone_number": "505-647-8366",
            "fax_number": "505-647-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 S TELSHOR BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114748",
            "telephone_number": "575-522-0300",
            "fax_number": "505-522-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDO A LEON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "GUIDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-522-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15882756",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Cardiovascular Center Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southwest Cardiovascular Center Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.