Active NPI
Tribalights TT LLC
- Family Medicine Physician
- Santa Fe, NM
National Provider Identifier
1922921956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- TRIBALIGHTS TT LLC
- Practice address
- 4001 Office Court Dr Ste 1006
Santa Fe, NM 87507-4929 - Phone
- (310) 721-4398
- NPI assigned
- Aug 4, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Phoenix Germano
- Title
- Owner
- Phone
- (310) 721-4398
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
4001 Office Court Dr Ste 1006
Santa Fe, NM 87507-4929
Mailing address
4001 Office Court Dr Ste 1006
Santa Fe, NM 87507-4929
National Provider Directory
National Provider Directory- Tax ID family
- Tribalights TT LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Santa Fe, NM
- NPI 1265362966
-
- Clinical Medical Laboratory
- Santa Fe, NM
- NPI 1275459166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785801600000",
"number": "1922921956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 OFFICE COURT DR STE 1006",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875074929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 OFFICE COURT DR STE 1006",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875074929",
"telephone_number": "310-721-4398"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIBALIGHTS TT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-04",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A",
"authorized_official_last_name": "GERMANO",
"authorized_official_first_name": "PHOENIX",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-721-4398"
},
"taxonomies": [
{
"code": "103TF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.