NPIMap

Organization Active NPI

La Clinica Tepeyac, Inc

  • Federally Qualified Health Center (FQHC)
  • Denver, CO
National Provider Identifier
1841781879
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
LA CLINICA TEPEYAC, INC
Practice address
4725 High St
Denver, CO 80216-2220
Phone
(720) 274-2923
Fax
(303) 583-0152
NPI assigned
May 25, 2018
Organization subpart
Yes
Parent organization
LA CLINICA TEPEYAC, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Authorized official

Name
Jim Garcia
Title
Ceo
Phone
(720) 274-2923

Specialties & licenses 1

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

Addresses

Primary practice location

4725 High St
Denver, CO 80216-2220

Mailing address

4725 High St
Denver, CO 80216-2220
Phone (720) 274-2923

National Provider Directory

National Provider Directory
Tax ID family
La Clinica Tepeyac Inc3 organizations share this tax ID, including this one
Part of
La Clinica Tepeyac Inc

Other organizations with this tax ID 2

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": "1527206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1841781879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 HIGH ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802162220",
            "telephone_number": "720-274-2923",
            "fax_number": "303-583-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 HIGH ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802162220",
            "telephone_number": "720-274-2923",
            "fax_number": "303-583-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA CLINICA TEPEYAC, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LA CLINICA TEPEYAC, INC",
        "enumeration_date": "2018-05-25",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-274-2923"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.