Organization Active NPI

El Camino Real Academy

  • Local Education Agency (LEA)
  • Albuquerque, NM
National Provider Identifier
1548619273
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
EL CAMINO REAL ACADEMY
Practice address
3713 Isleta Blvd SW
Albuquerque, NM 87105-5919
Phone
(505) 314-2212
Fax
(505) 873-4200
NPI assigned
Jun 3, 2016
Last updated
Jun 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Authorized official

Name
Mary Scofield
Title
Business Manager
Phone
(505) 314-2212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

3713 Isleta Blvd SW
Albuquerque, NM 87105-5919

Mailing address

3713 Isleta Blvd SW
Albuquerque, NM 87105-5919
Phone (505) 314-2212

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
32D2251233El Camino Real Academy3713 Isleta Blvd SW, Albuquerque, NM 87105Certificate of waiverJan 31, 2028

National Provider Directory

National Provider Directory

Locations

3713 Isleta Blvd SW
Albuquerque, NM 87105
Phone (505) 314-2212

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": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1548619273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3713 ISLETA BLVD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871055919",
            "telephone_number": "505-314-2212",
            "fax_number": "505-873-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3713 ISLETA BLVD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871055919",
            "telephone_number": "505-314-2212",
            "fax_number": "505-873-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL CAMINO REAL ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "SCOFIELD",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "505-314-2212"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.