Organization Active NPI

Santa Fe Derm and Wellness

  • Dermatology Physician
  • Santa Fe, NM
National Provider Identifier
1750208682
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
SANTA FE DERM AND WELLNESS
Practice address
2074 Galisteo St Ste C1
Santa Fe, NM 87505-2158
Phone
(505) 470-3828
Fax
(505) 629-4241
NPI assigned
Jul 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Jessica Gonzalez, APRN-CNP
Title
Owner
Phone
(505) 470-3828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

2074 Galisteo St Ste C1
Santa Fe, NM 87505-2158

Mailing address

2074 Galisteo St Ste C1
Santa Fe, NM 87505-2158
Phone (505) 470-3828

National Provider Directory

National Provider Directory

Locations

2074 Galisteo St
Ste C1
Santa Fe, NM 87505
Phone (505) 982-4098

NPI Registry JSON

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

{
    "created_epoch": "1782864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1750208682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 GALISTEO ST STE C1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052158",
            "telephone_number": "505-470-3828",
            "fax_number": "505-629-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 GALISTEO ST STE C1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052158",
            "telephone_number": "505-470-3828",
            "fax_number": "505-629-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA FE DERM AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-01",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-470-3828",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 1, 2026; 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.