Access Medical Care LLC
Organization Active NPI Family Medicine Physician · Corrales, NM
NPI 1952941114 · NPPES record last updated May 24, 2022
Key facts
- NPI
- 1952941114
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ACCESS MEDICAL CARE LLC
- Practice address
- 2469 Corrales Rd. BLDG a Suite C
Corrales, NM 87048-8680 - Phone
- (505) 450-8709
- Fax
- (505) 508-1514
- NPI assigned
- Jan 15, 2020
- Organization subpart
- No
Authorized official
- Name
- Catherine Rosacker-Sharp, RN
- Title
- Administrator
- Phone
- (505) 450-8709
Practitioners 6
-
Kimberly A Bocaz, CNP
-
Norbert Jay Sanidad, CNP
-
Jennifer Trainor, APRN
-
Robert Khanlian, MD
-
Naomi Moraga, CNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200501000121 | NM | Part B Supplier - Clinic/Group Practice | 5991135154 |
Receives reassigned benefits from 4 practitioners Practice locations: Corrales, NM |
National Provider Directory
Locations
2469 Corrales Rd
Ste E
Corrales, NM 87048
Phone (505) 589-9571
2469 Corrales Rd
Ste C
Corrales, NM 87048
Phone (505) 250-8337
4940 Corrales Rd
Ste 125
Corrales, NM 87048
Phone (505) 433-4446
2469 Corrales Rd
Ste B5
Corrales, NM 87048
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
2469 Corrales Rd. BLDG a Suite C
Corrales, NM 87048-8680
Mailing address
PO Box 2046
Corrales, NM 87048-2046
Phone (505) 450-8709
Other providers in Corrales, NM
- A New Vision Case Management, Inc.
- Elizabeth R Alden
- Susan Allshouse
- Denisse M Alvarez Muniz
- Americas Health and Wellness LLC
- Angel Paths Therapy
All providers in Corrales, NM · Family Medicine Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.