Active NPI
El Camino Real Academy
- Local Education Agency (LEA)
- Albuquerque, NM
National Provider Identifier
1548619273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D2251233 | El Camino Real Academy | Certificate of waiver | Jan 31, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Speech-Language Pathologist
- Albuquerque, NM
- NPI 1306018064
-
- Speech-Language Pathologist
- Albuquerque, NM
- NPI 1609046499
-
- Occupational Therapist
- Albuquerque, NM
- NPI 1225201544
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.