NPIMap

Organization Active NPI

Santa Fe Pain & Spine Specialists PC

  • Pain Medicine (Anesthesiology) Physician
  • Rio Rancho, NM
National Provider Identifier
1700814316
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
0603127 Issued in NM
Legal business name
SANTA FE PAIN & SPINE SPECIALISTS PC
Practice address
4100 High Resort Blvd SE
Suite 215
Rio Rancho, NM 87124-5901
Phone
(505) 191-2770
Fax
(505) 395-7551
NPI assigned
Jun 30, 2006
Last updated
Jul 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Authorized official

Name
Andrea Acosta
Title
Practice Administrator
Phone
(505) 291-2770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 0603127 NM Primary

Addresses

Primary practice location

4100 High Resort Blvd SE
Suite 215
Rio Rancho, NM 87124-5901

Mailing address

PO Box 65949
Albuquerque, NM 87193-5949
Phone (505) 191-2770

Other identifiers 1

IdentifierTypeStateIssuer
60982811MedicaidNM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1700814316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65949",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871935949",
            "telephone_number": "505-191-2770",
            "fax_number": "505-395-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 HIGH RESORT BLVD SE",
            "address_2": "SUITE 215",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871245901",
            "telephone_number": "505-191-2770",
            "fax_number": "505-395-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA FE PAIN & SPINE SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "505-291-2770"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NM",
            "license": "0603127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60982811",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.