Nativa Medical LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

NATIVA MEDICAL LLC

Practice address

1014 Hummingbird PL SW
Albuquerque, NM 87105-8130

Phone

(505) 582-4246

NPI assigned

Jan 28, 2019

Last updated

Jul 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anna Siow, PANPI 1194170605

Title

PA

Phone

(505) 582-4246

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Anna Marie Siow, PA

  • Physician Assistant
  • Albuquerque, NM
  • NPI 1194170605
  NPD Authorized official

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593648000000",
    "number": "1962966549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 HUMMINGBIRD PL SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871058130",
            "telephone_number": "505-582-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 HUMMINGBIRD PL SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871058130",
            "telephone_number": "505-582-4246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Alicia",
            "address_purpose": "LOCATION",
            "city": "Cedar Crest",
            "state": "NM",
            "postal_code": "870089450",
            "country_code": "US",
            "telephone_number": "505-503-7250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4201 Central Ave NE # K2",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871081162",
            "country_code": "US",
            "telephone_number": "505-503-7250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NATIVA MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-28",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "SIOW",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PA",
        "authorized_official_telephone_number": "505-582-4246",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194170606",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.