NPIMap

Organization Active NPI

Vein Center of New Mexico LLC

  • Surgery Physician
  • Albuquerque, NM
National Provider Identifier
1609957398
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
VEIN CENTER OF NEW MEXICO LLC
Practice address
801 Encino PL NE Ste C12
Albuquerque, NM 87102-2618
Phone
(505) 247-4849
Fax
(505) 247-4850
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ole Peloso
Title
Owner
Phone
(505) 314-7061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

801 Encino PL NE Ste C12
Albuquerque, NM 87102-2618

Mailing address

801 Encino PL NE Ste C12
Albuquerque, NM 87102-2618
Phone (505) 247-4849

National Provider Directory

National Provider Directory

Locations

801 Encino Pl NE
Ste C12
Albuquerque, NM 87102
Phone (505) 247-4849

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609957398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ENCINO PL NE STE C12",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022618",
            "telephone_number": "505-247-4849",
            "fax_number": "505-247-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ENCINO PL NE STE C12",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022618",
            "telephone_number": "505-247-4849",
            "fax_number": "505-247-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN CENTER OF NEW MEXICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PELOSO",
        "authorized_official_first_name": "OLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-314-7061",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.