NPIMap

Organization Active NPI

Santa Fe Medical Group, LLC

Doing business as Santa Fe Family Health

  • Family Medicine Physician
  • Santa Fe, NM
National Provider Identifier
1841626850
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13-00054443 Issued in NM
Legal business name
SANTA FE MEDICAL GROUP, LLC
Doing business as
Santa Fe Family Health
Practice address
2801 Rodeo Rd
Suite B-13
Santa Fe, NM 87507-6503
Phone
(505) 474-0120
Fax
(505) 474-4693
NPI assigned
Sep 23, 2013
Last updated
Sep 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Authorized official

Name
Mrs. Glenda M Kaplan
Title
Credentialing Specialist
Phone
(505) 944-9414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 13-00054443 NM Primary

Addresses

Primary practice location

2801 Rodeo Rd
Suite B-13
Santa Fe, NM 87507-6503

Mailing address

3600 Rodeo LN
Suite a-1
Santa Fe, NM 87507-6400
Phone (505) 474-6097

Other names 1

  • Santa Fe Family Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Santa Fe Medical Group8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2801 Rodeo Rd
Ste B13
Santa Fe, NM 87507
Phone (505) 474-0120

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1841626850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 RODEO LN",
            "address_2": "SUITE A-1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875076400",
            "telephone_number": "505-474-6097",
            "fax_number": "505-471-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 RODEO RD",
            "address_2": "SUITE B-13",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875076503",
            "telephone_number": "505-474-0120",
            "fax_number": "505-474-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA FE MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "505-944-9414",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "13-00054443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Fe Family Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 23, 2013; 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.