DR. VICTOR LACERVA (NPI# 1104255454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104255454 |
| Entity Type | Individual |
| Full Name | DR. VICTOR LACERVA |
| Credential | MD |
| Practice Address |
52 Zambra Way Santa Fe NM 87506-0154 |
| Practice Telephone | 5059834233 |
| Mailing Telephone | 5059834233 |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-11-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 8056 | NM | Allopathic & Osteopathic Physicians |
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
8056 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
52 ZAMBRA WAY |
| City | SANTA FE |
| State | NM |
| Zip Code | 87506-0154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073110920 | Nambe Pueblo | Clinic/Center | 16a Tayeh Huu U, Pueblo of Nambe, NM 87506 | 2020-10-05 |
| 1811543655 | Waltor Surgical Assisting | Specialist/Technologist, Other | 708 Luna Vista, Santa Fe, NM 87506 | 2019-08-16 |
| 1518447762 | Rosario Cismowski Escobedo | Behavior Technician | 17709a Hwy 84/285, Santa Fe, NM 87506 | 2018-08-17 |
| 1417440777 | Las Clinicas Del Norte Incorporated | Clinic/Center | 1797b St. Rd 502, Santa Fe, NM 87506 | 2018-06-12 |
| 1992297915 | Carnell D Horn II | Behavior Technician | 44 Paseo Encantado Sw, Santa Fe, NM 87506 | 2018-06-05 |
| 1689101594 | James M Mccaffery | Ophthalmology | 45 Violet Circle, Santa Fe, NM 87506 | 2017-05-23 |
| 1225404437 | Tiffany Wynn | Counselor | 1524 Bishops Lodge Rd, #b, Tesuque, NM 87506 | 2015-08-12 |
| 1912119298 | St Vincent Hospital | General Acute Care Hospital | 5 Petroglyph Circle, Suite A, Pojoaque, NM 87506 | 2007-05-07 |
| 1881733574 | Kathleen Ohringer Paster | Social Worker | 53 Heartstone Drive, Santa Fe, NM 87506 | 2007-02-06 |
| 1831269448 | Roberta R Goodman | Counselor | 187 Tesuque Village Rd, Tesuque, NM 87506 | 2006-11-09 |
| Find all providers in zip 87506 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609013259 | Halley Spencer Faust | Preventive Medicine | 1260 Vallecita Dr, Santa Fe, NM 87501-8803 | 2009-01-18 |
| 1508834110 | Christopher Philip Novak | Preventive Medicine | 605 Letrado St Ste D, Santa Fe, NM 87505-4146 | 2006-03-09 |
| 1891919734 | Ronald Edward Voorhees | Preventive Medicine | 1190 S Saint Francis Dr, Santa Fe, NM 87505-4173 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124592761 | Asthma & Wellness Educators LLC | Preventive Medicine | 896 Cascade Rd Se, Rio Rancho, NM 87124-4332 | 2019-01-16 |
| 1780003442 | Jacob Alexander | Preventive Medicine | 500 N. Mundo, Dulce, NM 87528 | 2014-04-09 |
| 1205114816 | Christian Shaw | Preventive Medicine | 912 1st St Nw, Albuquerque, NM 87102 | 2011-07-31 |
| 1558651018 | Kavita Rajasekhar | Preventive Medicine | Unm Eohs, 1 Unm Msc 10-5550, Albuquerque, NM 87131-0001 | 2011-04-18 |
| 1760632061 | Michael H Trujillo | Preventive Medicine | 5400 Gibson Blvd., Se, Abq Health Partners, Albuquerque, NM 87108 | 2008-09-23 |
| 1013058353 | Jana Gunnell | Preventive Medicine | 1919 College Dr, Gallup, NM 87301-7010 | 2007-02-09 |
| 1750496402 | Beatriz Carlota Orduna-salisbury | Preventive Medicine | 438 Chacoma Pl Sw, Albuquerque, NM 87104-1405 | 2006-08-21 |
| 1144293903 | James S. Ice | Preventive Medicine | 2050 A Second St Se, Kirtland Afb, NM 87117-5522 | 2006-02-10 |
| 1376530964 | Thomas O'neal Moore | Preventive Medicine | 377 Mdg, 2050a Second St Se, Kirtland Afb, NM 87117-5522 | 2005-09-29 |
| 1821695081 | Modern Pain & Spine PC | Preventive Medicine | 1540 Juan Tabo Blvd Ne Ste A, Albuquerque, NM 87112-4460 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
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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.