SANDIA NATIONAL LABORATORIES (NPI# 1083992846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083992846 |
| Entity Type | Organization |
| Organization Name | SANDIA NATIONAL LABORATORIES |
| Other Organization Name | SANDIA MEDICAL CLINIC |
| Practice Address |
1515 Eubank Blvd Se Bldg 831/832 Albuquerque NM 87123-3453 |
| Mailing Address |
Po Box 5800 Albuquerque NM 87185-1019 |
| Practice Telephone | 5058444237 |
| Practice Fax Number | 5058458190 |
| Mailing Telephone | 5058450145 |
| Mailing Fax Number | 5058458190 |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2015-07-31 |
| Authorized Official Name | RICK SAUERMAN (SITE OCCUPATIONAL MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5058450145 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | SANDIA NATIONAL LABORATORIES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sandia Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417298621 | Sandia National Laboratories | Clinic/Center | 1515 Eubank Blvd Se Bldg 831, Albuquerque, NM 87123-3453 | 2013-03-13 |
| 1699166140 | Sandia National Laboratories | Clinic/Center | 1515 Eubank Blvd Se Bldg. 831/832, Albuquerque, NM 87185-1019 | 2015-02-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SANDIA NATIONAL LABORATORIES | 1515 Eubank Se, Albuquerque, NM 87123-3453 |
| Street Address |
1515 EUBANK BLVD SE BLDG 831/832 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87123-3453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619027505 | Rick Brownlow Sauerman | Preventive Medicine | 1515 Eubank Blvd Se, Albuquerque, NM 87123-3453 | 2007-01-11 |
| 1912355058 | Joshua Del Villar | Registered Nurse | 1515 Eubank Blvd Se, Bldg 831 Room 143, Albuquerque, NM 87123-3453 | 2016-05-31 |
| 1508211574 | Rita Canchucaja | Registered Nurse | 1515 Eubank Blvd Se, Albuquerque, NM 87123-3453 | 2016-04-27 |
| 1528423316 | Bryn Smith | Dietitian, Registered | 1515 Eubank Blvd Se, Bldg. 831-832, Albuquerque, NM 87123-3453 | 2015-12-21 |
| 1265814867 | Cynthia Laforest | Nurse's Aide | 1515 Eubank Blvd Se, Bldg 831/832, Albuquerque, NM 87123-3453 | 2015-06-19 |
| 1083095335 | William Casias | Technician, Pathology | 1515 Eubank Blvd Se, Bldg 831, Albuquerque, NM 87123-3453 | 2015-06-12 |
| 1174904411 | Bryan Trevino-rivas | Technician, Pathology | 1515 Eubank Blvd Se, Bldg 831, Albuquerque, NM 87123-3453 | 2015-06-12 |
| 1205216827 | Brian Glenn | Emergency Medical Technician, Paramedic | 1515 Eubank Blvd Se, Bldg 831/832, Albuquerque, NM 87123-3453 | 2015-06-09 |
| 1538549316 | Christopher Ortiz | Emergency Medical Technician, Paramedic | 1515 Eubank Blvd Se, Albuquerque, NM 87123-3453 | 2015-06-05 |
| 1114318698 | Matthew Thomas | Health Educator | 1515 Eubank Blvd Se, Bldg 831/832, Albuquerque, NM 87123-3453 | 2015-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360291 | Frances J. Dewent | Technician | 504 Aragon St Se, Albuquerque, NM 87123 | 2020-09-09 |
| 1275042293 | Amanda Valdez-androlewicz | Nurse Practitioner | 1117 Monte Largo Dr Ne, Albuquerque, NM 87123 | 2017-09-21 |
| 1740708809 | 11.11, LLC | Case Manager/Care Coordinator | 11724 Copper Pl Ne, Albuquerque, NM 87123 | 2017-09-08 |
| 1710375365 | Diane Crouse | Occupational Therapist | 820 Monte Alto Dr Ne, Albuquerque, NM 87123 | 2015-01-06 |
| 1346640760 | Christopher Trout | Physical Therapist | 11419 Deer Lodge Rd Se, Albuquerque, NM 87123 | 2014-09-04 |
| 1255682944 | Armstrong Medical LLC | Physician Assistant | 13170 Central Ave Se, Suite B 345, Albuquerque, NM 87123 | 2012-09-21 |
| 1467709006 | Tomas Maestas | Emergency Medical Technician, Paramedic | 1515 Eubank Blvd Se Bldg. 831/832, Albuquerque, NM 87123 | 2012-08-14 |
| 1831476951 | Shellie Nicole Field | Pharmacist | 1515 Eubank Se, Bldg 831 Rm 143, Albuquerque, NM 87123 | 2011-11-03 |
| 1023325768 | Moss Trompeter | Pharmacist | 1931 Cam Fella St Se, Albuquerque, NM 87123 | 2010-09-01 |
| 1114239522 | Miguel A. Perez Abreu | Preventive Medicine | 600 Wyoming Blvd Ne, Albuquerque, NM 87123 | 2010-07-14 |
| Find all providers in zip 87123 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417298621 | Sandia National Laboratories | Clinic/Center | 1515 Eubank Blvd Se Bldg 831, Albuquerque, NM 87123-3453 | 2013-03-13 |
| 1982825667 | Nanulia | Clinic/Center | 1717 Louisiana Blvd Ne, Suite 212, Albuquerque, NM 87110-7001 | 2007-05-01 |
| 1083035075 | Sandia National Laboratory | Clinic/Center | 1515 Eubank Blvd Se Bldg 831832, Albuquerque, NM 87123-3453 | 2013-12-18 |
| 1720409741 | Sandia National Laboratory | Clinic/Center | 1515 Eubank Blvd Se, Bldg 831/832, Albuquerque, NM 87123-3453 | 2013-12-17 |
| 1215358304 | Sandia Staffing Alliance | Clinic/Center | 1515 Eubank Blvd Se Bldg 831832, Albuquerque, NM 87123-3453 | 2013-12-17 |
| 1568708980 | Sandia Staffing Alliance | Clinic/Center | 1515 Eubank Blvd Se, Ms 1019, Albuquerque, NM 87123-3453 | 2012-12-13 |
| 1033475561 | Reform Spine & Injury Care Center | Clinic/Center | 7007 Jefferson St Ne Ste C, Albuquerque, NM 87109-4450 | 2012-04-10 |
| 1598043275 | International Travel Clinic | Clinic/Center | 1515 Eubank Blvd Se, Bldg. 831 Ms 1019, Albuquerque, NM 87123-3453 | 2011-07-28 |
| 1609164706 | Disease Management Clinic | Clinic/Center | 1515 Eubank Blvd Se, Bldg. 832 Ms 1019, Albuquerque, NM 87123-3453 | 2011-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992123780 | Taos Muncipal Schools | Clinic/Center | 310 Camino De La Placita, Taos, NM 87571-5951 | 2014-03-31 |
| 1659633550 | Mary Angela Cancino Gallagher | Clinic/Center | 304 N Richardson Ave, Roswell, NM 88201-4639 | 2012-06-15 |
| 1326300658 | Raul Calderon | Clinic/Center | 304 N Richardson Ave, Roswell, NM 88201-4639 | 2012-06-12 |
| 1386823227 | Action-occmed-m.m.i., P.C. | Clinic/Center | 530 N Telshor Blvd, Suite B, Las Cruces, NM 88011-8243 | 2007-10-28 |
| City | ALBUQUERQUE |
| Zip Code | 87123 |
Please comment or provide details below to improve the information on SANDIA NATIONAL LABORATORIES.
| 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.