Organization Active NPI

Cachomed Health PC

  • Family Medicine Physician
  • Santa Fe, NM
National Provider Identifier
1639667389
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CACHOMED HEALTH PC
Practice address
531 Harkle Rd Ste B
Santa Fe, NM 87505-4753
Phone
(505) 954-1459
Fax
(505) 983-7571
NPI assigned
Apr 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Authorized official

Name
Daniel Radunsky, MD
Title
Owner
Phone
(505) 954-1459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

531 Harkle Rd Ste B
Santa Fe, NM 87505-4753

Mailing address

1000 Cordova PL # 86
Santa Fe, NM 87505-1725
Phone (505) 954-1459

Other identifiers 1

IdentifierTypeStateIssuer
59781068MedicaidNM

National Provider Directory

National Provider Directory

Locations

531 Harkle Rd
Ste B
Santa Fe, NM 87505
Phone (505) 207-8078

NPI Registry JSON

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1639667389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CORDOVA PL # 86",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875051725",
            "telephone_number": "505-954-1459",
            "fax_number": "505-466-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 HARKLE RD STE B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054753",
            "telephone_number": "505-954-1459",
            "fax_number": "505-983-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CACHOMED HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-10-15",
        "status": "A",
        "authorized_official_last_name": "RADUNSKY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-954-1459",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59781068",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.