NPIMap

Organization Active NPI

La Familia Medical Center

  • Federally Qualified Health Center (FQHC)
  • Santa Fe, NM
National Provider Identifier
1649937384
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
LA FAMILIA MEDICAL CENTER
Practice address
3007 S Saint Francis Dr
Santa Fe, NM 87505-7069
Phone
(505) 988-1742
Fax
(505) 988-2184
NPI assigned
Nov 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Authorized official

Name
Brandon Vanessa Van Pelt
Title
Chief Executive Officer
Phone
(505) 982-4425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

3007 S Saint Francis Dr
Santa Fe, NM 87505-7069

Mailing address

PO Box 5395
Santa Fe, NM 87502-5395
Phone (505) 629-4714

Other names 1

  • La Familia Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
La Familia Medical Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1649937384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5395",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875025395",
            "telephone_number": "505-629-4714",
            "fax_number": "505-982-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 S SAINT FRANCIS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057069",
            "telephone_number": "505-988-1742",
            "fax_number": "505-988-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA FAMILIA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "VAN PELT",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "VANESSA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "505-982-4425"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Familia Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 13, 2025; 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.