NPIMap

Organization Active NPI

Haaku Health

  • Health Service Clinic/Center
  • San Fidel, NM
National Provider Identifier
1962384438
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
HAAKU HEALTH
Practice address
80 B Veterans Blvd
San Fidel, NM 87049
Phone
(505) 280-7200
NPI assigned
Jul 24, 2025
Last updated
Jul 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Authorized official

Name
Ms. Janay Maupin, MBA
Title
Ceo
Phone
(505) 280-7720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

80 B Veterans Blvd
San Fidel, NM 87049

Mailing address

PO Box 40
San Fidel, NM 87049-0040
Phone (505) 280-7720

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251219000109 TX Part B Supplier - Clinic/Group Practice 1850896366 Receives reassigned benefits from 18 practitioners
Practice locations: Acoma, NM

National Provider Directory

National Provider Directory
Tax ID family
Haaku Health4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 19

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 19

NPI Registry JSON

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1962384438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "SAN FIDEL",
            "state": "NM",
            "postal_code": "870490040",
            "telephone_number": "505-280-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 B VETERANS BLVD",
            "city": "SAN FIDEL",
            "state": "NM",
            "postal_code": "87049",
            "telephone_number": "505-280-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAAKU HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "MAUPIN",
        "authorized_official_first_name": "JANAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-280-7720",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Fidel, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.