NPIMap

Organization Active NPI

Satori Healing, LLC

  • Adult Medicine Physician
  • Los Alamos, NM
National Provider Identifier
1699407072
Registry record updated Jun 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
SATORI HEALING, LLC
Practice address
3500 Trinity Dr Ste C3
Los Alamos, NM 87544-2221
Phone
(505) 500-8213
Fax
(505) 485-0511
NPI assigned
Jun 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2022

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

Authorized official

Name
Dr. Patrick A Martin, MDNPI 1457346793
Title
Owner/Ceo
Phone
(505) 709-8782

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WI0500X
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

3500 Trinity Dr Ste C3
Los Alamos, NM 87544-2221

Mailing address

1040 Pinon Loop
Los Alamos, NM 87544-2962
Phone (505) 709-8782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230524000302 NM Part B Supplier - Clinic/Group Practice 4486010022 Receives reassigned benefits from 1 practitioner
Practice locations: Los Alamos, NM

National Provider Directory

National Provider Directory

Locations

3500 Trinity Dr
Ste C3
Los Alamos, NM 87544
Phone (505) 500-8213

Practitioners & affiliated clinicians

Practitioners 2

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": "1656115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656115200000",
    "number": "1699407072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 PINON LOOP",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442962",
            "telephone_number": "505-709-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 TRINITY DR STE C3",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442221",
            "telephone_number": "505-500-8213",
            "fax_number": "505-485-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATORI HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-25",
        "last_updated": "2022-06-25",
        "certification_date": "2022-06-25",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "505-709-8782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.