NPIMap

Organization Active NPI

Dr. Brian Delahoussaye

Doing business as Rehabiliation and Occupational Medicine

  • Health Maintenance Organization
  • Las Cruces, NM
National Provider Identifier
1619974763
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
DR. BRIAN DELAHOUSSAYE
Doing business as
Rehabiliation and Occupational Medicine
Practice address
3530 Foothills Rd
Las Cruces, NM 88011-3621
Phone
(505) 532-6054
Fax
(505) 532-0215
NPI assigned
Jul 5, 2005
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
Kimberly R Metcalfe
Title
Assistant Administrator
Phone
(505) 532-6054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

3530 Foothills Rd
Las Cruces, NM 88011-3621

Mailing address

PO Box 1420
Las Cruces, NM 88004-1420
Phone (505) 532-6054

Other names 1

  • Rehabiliation and Occupational Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
First Care Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619974763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1420",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880041420",
            "telephone_number": "505-532-6054",
            "fax_number": "505-532-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 FOOTHILLS RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880113621",
            "telephone_number": "505-532-6054",
            "fax_number": "505-532-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BRIAN DELAHOUSSAYE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "METCALFE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "505-532-6054"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehabiliation and Occupational Medicine",
            "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 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.