NPIMap

Organization Active NPI

Santa Fe Medical Group, LLC

  • Primary Care Clinic/Center
  • Santa Fe, NM
National Provider Identifier
1851401103
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SANTA FE MEDICAL GROUP, LLC
Practice address
2801 Rodeo Rd
Ste B-13
Santa Fe, NM 87507-6503
Phone
(505) 474-0120
Fax
(505) 474-4693
NPI assigned
Aug 30, 2006
Last updated
Feb 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Authorized official

Name
Christopher Elliot
Title
Executive Billing MG
Phone
(505) 923-4634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

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

Mailing address

7601 Jefferson Blvd NE
Ste 340
Albuquerque, NM 87109-4496
Phone (505) 338-3851

Other identifiers 1

IdentifierTypeStateIssuer
54443MedicaidNM

National Provider Directory

National Provider Directory

Locations

7601 Jefferson St NE
Ste 340
Albuquerque, NM 87109
Phone (505) 338-3851

528 N Coronado Ave
Espanola, NM 87532
Phone (505) 747-6939

Practitioners & affiliated clinicians

Practitioners 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393545600000",
    "number": "1851401103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 JEFFERSON BLVD NE",
            "address_2": "STE 340",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094496",
            "telephone_number": "505-338-3851",
            "fax_number": "505-338-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 RODEO RD",
            "address_2": "STE 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": "2006-08-30",
        "last_updated": "2014-02-28",
        "status": "A",
        "authorized_official_last_name": "ELLIOT",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "EXECUTIVE BILLING MG",
        "authorized_official_telephone_number": "505-923-4634"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54443",
            "state": "NM"
        }
    ],
    "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 Feb 28, 2014; 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.