Active NPI
Javier Iturbe, MD
- Pediatrics Physician
- Santa Fe, NM
National Provider Identifier
1649200528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 90-55
- Practice address
- 2590 Camino Entrada
Santa Fe, NM 87507-4876 - Phone
- (505) 946-3233
- Fax
- (505) 946-3234
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 90-55 | NM | Primary |
Addresses
Primary practice location
2590 Camino Entrada
Santa Fe, NM 87507-4876
Mailing address
2590 Camino Entrada
Santa Fe, NM 87507-4876
Phone (505) 946-3233
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37621 | Other | CCN | |
| PROVP13605 | Other | MOLINA | |
| 10001170 | Other | LOVELACE | |
| 2746097 | Other | UHC | |
| 46433 | Medicaid | NM | |
| NM029F61 | Other | NM | BCBS NM |
| 000810819410 | Other | PHCS | |
| 202010518 | Other | PRESBYTERIAN HEALTH PLANS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322006400000",
"number": "1649200528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2590 CAMINO ENTRADA",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875074876",
"telephone_number": "505-946-3233",
"fax_number": "505-946-3234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2590 CAMINO ENTRADA",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875074876",
"telephone_number": "505-946-3233",
"fax_number": "505-946-3234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ITURBE",
"first_name": "JAVIER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2011-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NM",
"license": "90-55",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCN",
"identifier": "37621",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "PROVP13605",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE",
"identifier": "10001170",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "2746097",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "46433",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NM",
"identifier": "NM029F61",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "000810819410",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN HEALTH PLANS",
"identifier": "202010518",
"state": null
}
],
"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 Nov 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.