Santa Ana Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

CS00008623 Issued in NM

Legal business name

SANTA ANA MEDICAL CLINIC

Practice address

683 Harkle Rd Ste B
Santa Fe, NM 87505-4750

Phone

(505) 954-4422

Fax

(505) 954-4433

NPI assigned

Jan 12, 2007

Last updated

Aug 22, 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

Dr. Leonora J Lopez, MDNPI 1629179601

Title

Owner

Phone

(505) 954-4422

Specialties & licenses 1

Addresses

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.

• Leonora Jeanette Lopez, MD

  • Family Medicine Physician
  • Santa Fe, NM
  • NPI 1629179601
  Authorized official Same address or phone

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972654580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 HARKLE RD STE B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054750",
            "telephone_number": "505-954-4422",
            "fax_number": "505-954-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 HARKLE RD STE B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054750",
            "telephone_number": "505-954-4422",
            "fax_number": "505-954-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ANA MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "LEONORA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-954-4422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "CS00008623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Ruth Sands, MA LPCC
• Gerald Lee Sanford, CRNA
• Sangre de Cristo Community Health Partnership
• Camara N Sankofa
• Katherine Sansom, LCSW
• Santa Ana Skin Care Clinic
• Santa Fe Anesthesia Specialists, P.C.
• Santa Fe Art Therapy & Counseling
• Santa Fe Birth Center
• Santa Fe Bliss, LLC

• Family Medicine Physician in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.