SANTA FE MEDICAL GROUP (NPI# 1326440074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326440074 |
Entity Type | Organization |
Organization Name | SANTA FE MEDICAL GROUP |
Other Organization Name | VALLEY FIRST CARE |
Practice Address |
411 S Santa Clara Bridge Rd Espanola NM 87532-9477 |
Mailing Address |
7601 Jefferson St Ne Ste 340 Albuquerque NM 87109-4494 |
Practice Telephone | 5057476939 |
Practice Fax Number | 5057476816 |
Mailing Telephone | 5053383851 |
Mailing Fax Number | 5053383859 |
Enumeration Date | 2014-09-24 |
Last Update Date | 2014-09-24 |
Authorized Official Name | DR. PHILIP D BRIGGS (OWNER) |
Authorized Official Telephone | 5053383851 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 00046233 | 05 |
Other Name | Type Code |
---|---|
Valley First Care | Doing Business As Name - Organization |
Street Address |
411 S SANTA CLARA BRIDGE RD |
City | ESPANOLA |
State | NM |
Zip Code | 87532-9477 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396129581 | Aspen Medical Center LLC | Clinic/Center | 411 S Santa Clara Bridge Rd, Espanola, NM 87532-9477 | 2015-07-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720690423 | David A. Bustos | Non-emergency Medical Transport (VAN) | 1736 Calle Culebra, Espanola, NM 87532 | 2020-08-24 |
1407484942 | Rosita Lorreyna Sanchez | Behavior Technician | 3 Calle Baca, Espanola, NM 87532 | 2020-03-30 |
1437615564 | Troy Campbell | Counselor | 19525 Tomas Ln, Espanola, NM 87532 | 2019-02-13 |
1174099428 | Marisa Anaya | Registered Nurse | 420 N Coronado Ave, Espanola, NM 87532 | 2018-10-15 |
1780169938 | Celina Velasquez | Specialist/Technologist | 8 Camino Velasquez Ln., Espanola, NM 87532 | 2018-10-03 |
1356864656 | Jacqueline Andrea Zamora Alvarado | Behavior Technician | 3 Boneyard Rd, Espanola, NM 87532 | 2017-07-19 |
1619423902 | Mariah Maureen Martinez | Specialist/Technologist | 1421 Montana Vista St, Espanola, NM 87532 | 2016-08-28 |
1851847180 | Shannon Vigil | Perfusionist | 829 Calle Juan Jose Vigil, Espanola, NM 87532 | 2016-08-28 |
1144684234 | Tanya P. Reyes | Family Medicine | El Centro Family Health, 2010 Industrial Park Rd., Espanola, NM 87532 | 2016-04-05 |
1780058768 | Kale Lee Dennis | Massage Therapist | 2 Old Orchard Ln, Espanola, NM 87532 | 2015-11-13 |
Find all providers in zip 87532 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144684234 | Tanya P. Reyes | Family Medicine | El Centro Family Health, 2010 Industrial Park Rd., Espanola, NM 87532 | 2016-04-05 |
1891113049 | Jennifer Redd | Family Medicine | 400 State Road 30, Espanola, NM 87532-8208 | 2014-04-04 |
1063687622 | Dechen Wangmo Tsewang | Family Medicine | Rr5 Box 446, Santa Clara Health Center, Espanola, NM 87532-9614 | 2008-04-24 |
1497878664 | Los Alamos Physicians Practices LLC | Family Medicine | 1302 E Calle Merced, Espanola, NM 87532 | 2007-04-10 |
1477654697 | Mustapha Kamel Abouda | Family Medicine | 1302 E Calle De Merced, Espanola, NM 87532 | 2006-09-26 |
1770576134 | Brent J. Van Andel | Family Medicine | 711 Bond St, El Centro Family Health Bond Clinic, Espanola, NM 87532-2729 | 2005-08-31 |
1215920202 | Mark D Bjorklund | Family Medicine | 2010 Industrial Park Rd, Espanola, NM 87532-3600 | 2005-08-25 |
1043217797 | Michael D Wagner | Family Medicine | 835 Spruce St Ste B, Espanola, NM 87532-3455 | 2005-07-07 |
1023652633 | Amy Longfellow | Family Medicine | 2010 Industrial Park Rd, Espanola, NM 87532-3600 | 2019-11-06 |
1740832989 | Aria Sanders | Family Medicine | 2010 Industrial Park Rd, Espanola, NM 87532-3600 | 2019-07-09 |
Find all providers in ESPANOLA |
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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.