Individual provider Active NPI

Anita Paiz Gomez, M.D.

  • Family Medicine Physician
  • Santa Fe, NM
National Provider Identifier
1972519940
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
79-303 Issued in NM
Practice address
901 W Alameda St
Santa Fe, NM 87501-1681
Phone
(505) 955-9454
Fax
(505) 982-6298
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 79-303 NM Primary

Addresses

Primary practice location

901 W Alameda St
Santa Fe, NM 87501-1681

Mailing address

PO Box 6880
Santa Fe, NM 87502-6880
Phone (505) 955-9454

Other practice location 1

649 Harkle Rd Ste E
Santa Fe, NM 87505-4765
Phone (505) 955-9454

Other identifiers 1

IdentifierTypeStateIssuer
5496MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100722000060 TX Practitioner - Family Practice 4880773720 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
79-303NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Care Center CurrentSince Jan 16, 2024 Accepting new patients
Southwest Care Center CurrentSince Jan 16, 2024 Accepting new patients
Santo Domingo Health Clinic Past Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients
San Felipe Health Clinic Past Accepting new patients
Kewa Pueblo Health Corporation Past Accepting new patients
Santa Clara Health Center PastSince Jan 19, 2012 Accepting new patients
Cochiti Health Clinic Past Accepting new patients

Locations

649 Harkle Rd
Ste E
Santa Fe, NM 87505
Phone (505) 955-9454

901 W Alameda St
Santa Fe, NM 87501
Phone (505) 955-9454

Interoperability endpoints

  • Direct secure messaging: anita.gomez.1@32657.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1972519940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6880",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875026880",
            "telephone_number": "505-955-9454",
            "fax_number": "505-982-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W ALAMEDA ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875011681",
            "telephone_number": "505-955-9454",
            "fax_number": "505-982-6298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "649 Harkle Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875054765",
            "country_code": "US",
            "telephone_number": "505-955-9454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "ANITA",
        "middle_name": "PAIZ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "79-303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5496",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.