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

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, MD

Title

Owner

Phone

(505) 954-4422

Specialties & licenses 1

Addresses

Other identifiers 1

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32466",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mario Sandoval
• Karen Ruth Sands, MA LPCC
• Gerald Lee Sanford, CRNA
• Sangre de Cristo Community Health Partnership
• 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

• All providers in Santa Fe, NM
• 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.