SANDIA PHS HEALTH CENTER (NPI# 1225150535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225150535 |
| Entity Type | Organization |
| Organization Name | SANDIA PHS HEALTH CENTER |
| Practice Address |
481 Sandia Loop Bernalillo NM 87004-7076 |
| Practice Telephone | 5052484028 |
| Mailing Telephone | 5052484028 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PEDRO SOLIS (PHARMACY DIRECTOR, ACTING) |
| Authorized Official Telephone | 5052484028 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0904X |
Clinic/Center Specialization: Public Health, Federal |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | H7890 | 05 |
| Street Address |
481 SANDIA LOOP |
| City | BERNALILLO |
| State | NM |
| Zip Code | 87004-7076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427064179 | Gayle Chacon | Family Medicine | 481 Sandia Loop, Sandia Pueblo Clinic, Bernalillo, NM 87004-7076 | 2006-08-01 |
| 1215267208 | Randall S Berner | Counselor | 481 Sandia Loop, Bernalillo, NM 87004-7076 | 2010-01-13 |
| 1144405622 | Laura Darlene Johnson | Nurse Practitioner | 481 Sandia Loop, Bernalillo, NM 87004-7076 | 2008-01-03 |
| 1427180009 | Sandia Health Clinic Pharmacy | Pharmacy | 481 Sandia Loop, Bernalillo, NM 87004-7076 | 2007-03-10 |
| 1679614598 | Indian Health Service | Clinic/Center | 481 Sandia Loop, Pueblo of Sandia, Bernalillo, NM 87004-7076 | 2007-02-12 |
| 1063573509 | Sandia Health Center | Clinic/Center | 481 Sandia Loop, Bernalillo, NM 87004-7076 | 2006-12-12 |
| 1134238314 | Louis Francis Cannavale | Dentist | 481 Sandia Loop, Pueblo of Sandia Health Ctr., Bernalillo, NM 87004-7076 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912557729 | Mary Webster Birch | Technician | 306 Riesling Rd, Bernalillo, NM 87004 | 2019-09-13 |
| 1992364483 | Vineeta Kannan | Pharmacist | 203 Sandia Day School Rd., Bernalillo, NM 87004 | 2019-06-10 |
| 1003339748 | Bryanna M Vaio | Pharmacist | 460 Nm Hwy 528, Bernalillo, NM 87004 | 2017-07-25 |
| 1033668843 | Charlotte Branson | Registered Nurse | 301 Calle De Escuela, Bernalillo, NM 87004 | 2016-09-22 |
| 1740737394 | Karin Ludi | Registered Nurse | 148 Spartan Alley, Bernalillo, NM 87004 | 2016-09-01 |
| 1356729214 | Mirey Hernandez | Case Manager/Care Coordinator | 255a Carino Del Pueblo, Bernalillo, NM 87004 | 2015-05-12 |
| 1396138038 | Enchanted Hills Dentistry, Professional Corporation | Dentist | 470 New Mexico 528, A, Bernalillo, NM 87004 | 2015-03-05 |
| 1912319609 | Tate Rubinstein | Acupuncturist | 438 S. Camino Del Pueblo, Bernalillo, NM 87004 | 2014-05-29 |
| 1083043400 | Maria De Lourdes M. Grafe | Case Manager/Care Coordinator | 255-a Camino Del Pueblo, Bernalillo, NM 87004 | 2013-11-06 |
| 1932548799 | Bryan Graziano | Dentist | 470 Pat D'arco Hwy, Unit A, Bernalillo, NM 87004 | 2013-06-14 |
| Find all providers in zip 87004 | ||||
| Taxonomy Code | 261QP0904X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, Federal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679614598 | Indian Health Service | Clinic/Center | 481 Sandia Loop, Pueblo of Sandia, Bernalillo, NM 87004-7076 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538344965 | Marvin Denzel Call | Clinic/Center | 2178 Cattail Willow Ave Ne, Albuquerque, NM 87122-1023 | 2008-01-03 |
| 1477676567 | Pueblo of Jemez | Clinic/Center | 110 Sheepsprings Way, Jemez Pueblo, NM 87024 | 2007-04-06 |
| 1013011212 | Alamo Navajo Health Center | Clinic/Center | 30 Miles N of Hwy 60 On Hwy 169, Magdalena, NM 87825-0907 | 2006-09-11 |
| 1750388963 | Dulce Health Center | Clinic/Center | 500 North Mundo, Dulce, NM 87528-0187 | 2005-07-01 |
| 1952771750 | Santa Fe Indian Hospital | Clinic/Center | 1700 Cerrillos Rd, Santa Fe, NM 87505-3026 | 2015-10-06 |
| 1548597743 | Dhhs/ihs/aao/jsu/dulce Health Center | Clinic/Center | 12000 Stone Lake Road, Jicarilla Service Unit, Dulce, NM 87528 | 2009-11-09 |
| 1932221231 | Albuquerque Indian Health Center Pharmacy | Clinic/Center | 801 Vassar Dr Ne, Pharmacy Department, Albuquerque, NM 87106-2725 | 2007-04-06 |
| 1902875594 | Dhhs, Phs, Naihs, Gallup Indian Medical Center | Clinic/Center | 007 Choosgai Drive, Tohatchi, NM 87325 | 2006-03-16 |
| 1851377667 | Indian Health Service | Clinic/Center | 801 Vassar Dr Ne, Albuquerque, NM 87106-2725 | 2005-12-22 |
| City | BERNALILLO |
| Zip Code | 87004 |
Please comment or provide details below to improve the information on SANDIA PHS HEALTH CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.