Individual provider Active NPI

Roberto C. Pardo, AGPNP

  • Nurse Practitioner
  • Los Alamos, NM
National Provider Identifier
1922482108
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP-03510 Issued in NM
Practice address
3917 West Rd Ste a
Los Alamos, NM 87544-2292
Phone
(505) 661-8900
Fax
(505) 661-8916
NPI assigned
Jul 16, 2015
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP-03510 NM Primary

Addresses

Primary practice location

3917 West Rd Ste a
Los Alamos, NM 87544-2292

Mailing address

100 Wilson Rd Ste 100
Monterey, CA 93940-7885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NM, CA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160205000777 AZ Practitioner - Nurse Practitioner 2860796208 Reassigns benefits to 2 organizations
I20180320001410 NM Practitioner - Nurse Practitioner 2860796208 Reassigns benefits to 1 organization
I20190711003569 CA Practitioner - Nurse Practitioner 2860796208 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Montage Medical GroupGroup PAC ID 6406901941, 125 clinicians
Pinnacle Gastroenterology, LLC.Group PAC ID 7810358231, 4 clinicians

Practice addresses (Care Compare)

2 Upper Ragsdale Dr
BLDG a
Monterey, CA 93940-5736
Phone (831) 718-9701

700 Cuba Ave
Alamogordo, NM 88310-5951
Phone (575) 554-5700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network CurrentSince Jun 25, 2019 Accepting new patients
Medical Associates of Northern New Mexico CurrentSince Oct 20, 2025 Accepting new patients
Family Healthcare Network CurrentSince Jun 25, 2019 Accepting new patients
District Medical Group, Inc CurrentSince Sep 20, 2016 Accepting new patients
Family Healthcare Network Current Accepting new patients
Bisbee Hospital Association CurrentSince Mar 1, 2016 Accepting new patients
Family Healthcare Network Current Accepting new patients
Kaweah Delta Health Care District Current Accepting new patients
Family Healthcare Network Current Accepting new patients
District Medical Group, Inc Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Kaweah Delta Health Care District CurrentSince Oct 21, 2021 Accepting new patients
Bisbee Hospital Association CurrentSince Mar 1, 2016 Accepting new patients
Kaweah Delta Health Care District CurrentSince Oct 21, 2021 Accepting new patients
Montage Medical Group CurrentSince Jun 1, 2025 Accepting new patients
Family Healthcare Network Current Accepting new patients
District Medical Group, Inc Past Accepting new patients

Locations

101 Cole Ave
Bisbee, AZ 85603
Phone (520) 432-5383

100 E 5th St
Douglas, AZ 85607
Phone (520) 364-7659

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

2 Upper Ragsdale Dr
Bldg A
Monterey, CA 93940
Phone (831) 333-3040

23845 Holman Hwy
Ste 210
Monterey, CA 93940
Phone (831) 620-0296

1107 W Poplar Ave
Porterville, CA 93257
Phone (559) 781-7242

305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

840 S Akers St
Visalia, CA 93277
Phone (559) 624-3700

3917 West Rd
Ste A
Los Alamos, NM 87544
Phone (505) 661-8900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AAGADA
  • FHIR API: https://fhir4.healow.com/fhir/r4/CCECCA
  • Direct secure messaging: roberto.pardo.p1@direct.cmcentersinc.nextgenshare.com

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1922482108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILSON RD STE 100",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 WEST RD STE A",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442292",
            "telephone_number": "505-661-8900",
            "fax_number": "505-661-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDO",
        "first_name": "ROBERTO",
        "middle_name": "C.",
        "credential": "AGPNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-16",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "CNP-03510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamos, NM

Sources for this page

Verify at the official NPI Registry.