Individual provider Active NPI

Fernando A Vigil, PA-C

  • Medical Physician Assistant
  • Albuquerque, NM
National Provider Identifier
1821306630
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA2010-0026 Issued in NM
Practice address
10511 Golf Course Rd NW Ste 201
Albuquerque, NM 87114-5917
Phone
(505) 232-1180
NPI assigned
Sep 15, 2010
Last updated
Sep 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA2010-0026 NM Primary

Addresses

Primary practice location

10511 Golf Course Rd NW Ste 201
Albuquerque, NM 87114-5917

Mailing address

10511 Golf Course Rd NW Ste 201
Albuquerque, NM 87114-5917
Phone (505) 750-2876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2010-0026NMMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care, P.a. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: fernandovigil@direct.meditouchehr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1821306630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10511 GOLF COURSE RD NW STE 201",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145917",
            "telephone_number": "505-750-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10511 GOLF COURSE RD NW STE 201",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145917",
            "telephone_number": "505-232-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGIL",
        "first_name": "FERNANDO",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "PA2010-0026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.