LA CLINICA DE FAMILIA, INC. (NPI# 1396718631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396718631 |
| Entity Type | Organization |
| Organization Name | LA CLINICA DE FAMILIA, INC. |
| Other Organization Name | LA CLINICA DE FAMILIA SAN MIGUEL |
| Practice Address |
18420 S Highway 28 La Mesa NM 88044-9605 |
| Mailing Address |
385 Calle De Alegra Bldg. A Las Cruces NM 88005-3423 |
| Practice Telephone | 5752333830 |
| Practice Fax Number | 5752334542 |
| Mailing Telephone | 5755261105 |
| Mailing Fax Number | 5755244266 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | VIRGIL MEDINA (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5755261105 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
NM | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 48215 | 05 |
| Other Name | Type Code |
|---|---|
| La Clinica De Familia San Miguel | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114578671 | La Clinica De Familia, Inc. | Clinic/Center | 100 Shrode Rd, Anthony, NM 88021-7350 | 2019-09-26 |
| 1689034662 | La Clinica De Familia, Inc. | Clinic/Center | 6301 Nm Highway 28, Anthony, NM 88021 | 2016-03-03 |
| 1528443967 | La Clinica De Familia, Inc. | Clinic/Center | 2355 Avendia De Mesilla, Mesilla, NM 88046 | 2015-07-28 |
| 1639553928 | La Clinica De Familia, Inc. | Clinic/Center | 1950 Sonoma Ranch Blvd., Las Cruces, NM 88011 | 2015-07-16 |
| 1962862938 | La Clinica De Familia, Inc. | Clinic/Center | 800 S County Line Dr, Chaparral, NM 88081 | 2016-03-03 |
| 1528424397 | La Clinica De Familia, Inc. | Clinic/Center | 575 S Alameda Blvd, Las Cruces, NM 88005-2818 | 2016-01-11 |
| 1871889337 | La Clinica De Familia, Inc. | Clinic/Center | 510 E Lisa Dr, Bldg. 3, Chaparral, NM 88081-7809 | 2011-06-23 |
| 1205809944 | La Clinica De Familia, Inc. | Clinic/Center | 385 Calle De Alegra, Bldg. B, Las Cruces, NM 88005-3423 | 2006-02-13 |
| 1083687115 | La Clinica De Familia, Inc. | Clinic/Center | 100 Airport Rd, Santa Teresa, NM 88008-9703 | 2006-02-09 |
| 1285607754 | La Clinica De Familia, Inc. | Clinic/Center | 8600 Bataan Memorial E, Las Cruces, NM 88011-6016 | 2006-02-07 |
| Street Address |
18420 S HIGHWAY 28 |
| City | LA MESA |
| State | NM |
| Zip Code | 88044-9605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346734738 | Dora Caro | Counselor | 18420 S Highway 28, La Mesa, NM 88044 | 2018-06-19 |
| 1356876817 | Areli Guajardo | Social Worker | 18420 S Highway 28, La Mesa, NM 88044 | 2017-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356990402 | Abby Anne Pedroza | Speech-Language Pathologist | 300 Cascade, La Mesa, NM 88044 | 2019-09-10 |
| 1427187806 | Amy S. Buesing | Pharmacist | 15395 S Highway 28, La Mesa, NM 88044-9410 | 2007-03-03 |
| 1932425931 | Amanda E Sanford | Midwife | 18201 S Highway 28, La Mesa, NM 88044-9471 | 2010-04-15 |
| 1598029001 | Blanca Martinez | Case Manager/Care Coordinator | 1660 San Jose Rd, La Mesa, NM 88044-9511 | 2012-06-28 |
| 1578980090 | Maximo Martinez | Case Manager/Care Coordinator | 1660 San Jose Rd, La Mesa, NM 88044-9511 | 2014-03-21 |
| 1538233614 | Walker Eaze LLC | Durable Medical Equipment & Medical Supplies | 19219 South Highway 28, La Mesa, NM 88044-9621 | 2006-11-20 |
| 1184104572 | Acosta Associates LLC | Social Worker | 6598 Rio Dorado Ct, La Mesa, NM 88044-9657 | 2018-08-15 |
| 1801132691 | Derek Merchant | Massage Therapist | 6592 Valle Del Rio Ct, La Mesa, NM 88044-9670 | 2012-12-24 |
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699302877 | Grossmont Pediatrics Operated By Neighborhood Healthcare | Clinic/Center | 6924 University Avenue, La Mesa, CA 91942-5922 | 2020-03-26 |
| 1033759311 | Borrego Community Health Foundation | Clinic/Center | 8881 Fletcher Pkwy Ste 200, La Mesa, CA 91942-3135 | 2020-01-14 |
| 1497204234 | Family Health Centers of San Diego, Inc. | Clinic/Center | 8851 Center Dr, Ste 312, La Mesa, CA 91942-3017 | 2016-09-21 |
| 1568747137 | Borrego Community Health Foundation | Clinic/Center | 8851 Center Dr Ste 210, La Mesa, CA 91942-3045 | 2011-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487265666 | Hidalgo Medical Services | Clinic/Center | 105 1/2 N East St., Santa Clara, NM 88026 | 2020-08-12 |
| 1902436702 | La Clinica De Familia, Incorporated | Clinic/Center | 510 E Lisa Dr Bldg 2, Chaparral, NM 88081-7809 | 2020-01-21 |
| 1114578671 | La Clinica De Familia, Inc. | Clinic/Center | 100 Shrode Rd, Anthony, NM 88021-7350 | 2019-09-26 |
| 1083262422 | Presbyterian Medical Services | Clinic/Center | 28 Panther Parkway, 63 North Highway, Pecos, NM 87552 | 2019-08-29 |
| 1669930392 | El Centro Family Health | Clinic/Center | 1401 8th Street, Springer, NM 87747 | 2019-03-12 |
| 1487119608 | Presbyterian Medical Services | Clinic/Center | 1 Salomon Griego Road, Veguita, NM 87062 | 2019-02-01 |
| 1417440777 | Las Clinicas Del Norte Incorporated | Clinic/Center | 1797b St. Rd 502, Santa Fe, NM 87506 | 2018-06-12 |
| 1467971986 | Hidalgo Medical Services | Clinic/Center | 3200 32nd St Bypass, Silver City, NM 88061 | 2017-09-15 |
| 1417472192 | Fnch Outpatient Services | Clinic/Center | 634 Manzano Street Ne, Albuquerque, NM 87110 | 2017-08-03 |
| 1689034662 | La Clinica De Familia, Inc. | Clinic/Center | 6301 Nm Highway 28, Anthony, NM 88021 | 2016-03-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LA CLINICA DE FAMILIA, INC..
| 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.