NPIMap

Organization Active NPI

La Familia Medical Center

  • Federally Qualified Health Center (FQHC)
  • Santa Fe, NM
National Provider Identifier
1710384383
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
6308 Issued in NM
Legal business name
LA FAMILIA MEDICAL CENTER
Practice address
1035 Alto St
Santa Fe, NM 87501-2406
Phone
(505) 982-4425
Fax
(505) 982-8440
NPI assigned
Nov 26, 2014
Last updated
Jan 13, 2025By the provider in NPPES
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
Ceo
Phone
(505) 982-4425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 6308 NM Primary

Addresses

Primary practice location

1035 Alto St
Santa Fe, NM 87501-2406

Mailing address

1035 Alto St
Santa Fe, NM 87501-2406
Phone (505) 982-4425

Other names 1

  • ECHO Care Other name

National Provider Directory

National Provider Directory
Tax ID family
La Familia Medical Cent7 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": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1710384383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 ALTO ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012406",
            "telephone_number": "505-982-4425",
            "fax_number": "505-982-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 ALTO ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012406",
            "telephone_number": "505-982-4425",
            "fax_number": "505-982-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA FAMILIA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "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": "CEO",
        "authorized_official_telephone_number": "505-982-4425"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NM",
            "license": "6308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECHO Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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.