Organization Active NPI

Your Health First Medical Clinic, LLC

  • Primary Care Clinic/Center
  • Las Vegas, NM
National Provider Identifier
1881071462
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
CNP00739 Issued in NM
Legal business name
YOUR HEALTH FIRST MEDICAL CLINIC, LLC
Practice address
1301 8TH St
Las Vegas, NM 87701-4221
Phone
(505) 398-1160
Fax
(949) 437-3906
NPI assigned
May 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Dr. Mary Ann Osuchowski-Sanchez
Title
Owner
Phone
(505) 398-1160

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X CNP00739 NM Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

1301 8TH St
Las Vegas, NM 87701-4221

Mailing address

PO Box 832
Las Vegas, NM 87701-0832
Phone (505) 429-9440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150528001440 NM Part B Supplier - Clinic/Group Practice 9436479730 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NM

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2096864Your Health First Medical Clinic LLC1301 8TH Street, Las Vegas, NM 87701Certificate of waiverJun 2, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1881071462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 832",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877010832",
            "telephone_number": "505-429-9440",
            "fax_number": "949-437-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 8TH ST",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014221",
            "telephone_number": "505-398-1160",
            "fax_number": "949-437-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR HEALTH FIRST MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-02",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "OSUCHOWSKI-SANCHEZ",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-398-1160",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NM",
            "license": "CNP00739",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.