New Mexico Sleep Labs

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

NEW MEXICO SLEEP LABS

Practice address

1651 Galisteo St Ste 11
Santa Fe, NM 87505-2113

Phone

(915) 779-7378

Fax

(915) 779-2822

NPI assigned

Dec 10, 2019

Organization subpart

Yes

Parent organization

NEW MEXICO SLEEP LABSAs reported in NPPES

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

Authorized official

Name

Gonzalo Diaz, MDNPI 1134129240

Title

Owner

Phone

(915) 779-7378

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Santa Fe Sleep Center Doing business as

Tax ID family

New Mexico Sleep Labs2 organizations share this tax ID, including this one

Part of

New Mexico Sleep Labs

Other organizations with this tax ID 1

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

• New Mexico Sleep Labs

  • Sleep Disorder Diagnostic Clinic/Center
  • Las Cruces, NM
  • NPI 1104575521
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• New Mexico Sleep Labs

  • Sleep Disorder Diagnostic Clinic/Center
  • Las Cruces, NM
  • NPI 1104575521
  NPPES parent name

Practitioners 2

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

• Gonzalo A Diaz, MD

  • Pulmonary Disease Physician
  • El Paso, TX
  • NPI 1134129240

  Sleep Medicine

  NPD (past) Authorized official
• Mahmoud M Ismail, MD

  • Family Medicine Physician
  • Rio Rancho, NM
  • NPI 1326415365
  NPD (past)

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1679110530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 QUINTA ANTIGUA LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799122039",
            "telephone_number": "915-779-3778",
            "fax_number": "915-779-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 GALISTEO ST STE 11",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052113",
            "telephone_number": "915-779-7378",
            "fax_number": "915-779-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO SLEEP LABS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW MEXICO SLEEP LABS",
        "enumeration_date": "2019-12-10",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "GONZALO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-779-7378",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79570054",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Fe Sleep Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sleep Disorder Diagnostic Clinic/Center in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Sleep Disorder Diagnostic Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.