LUMA KAI, LLC (NPI# 1306158860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306158860 |
| Entity Type | Organization |
| Organization Name | LUMA KAI, LLC |
| Other Organization Name | LUMA KAI WELLNESS |
| Practice Address |
3701 San Mateo Blvd Ne Albuquerque NM 87110-1230 |
| Mailing Address |
Po Box 426 Springer NM 87747-0426 |
| Practice Telephone | 5053824922 |
| Mailing Telephone | 5053824922 |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2010-07-12 |
| Authorized Official Name | VALERI S. MAESTAS (OWNER) |
| Authorized Official Telephone | 5053824922 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Luma Kai Wellness | Doing Business As Name - Organization |
| Street Address |
3701 SAN MATEO BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-1230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417591413 | Old Town Primary Care, Inc. | Clinic/Center | 501 14th St Nw, Albuquerque, NM 87104-1729 | 2019-11-01 |
| 1700269412 | Adler Medical LLC | Clinic/Center | 4241 Montgomery Blvd Ne, Albuquerque, NM 87109-1081 | 2015-06-30 |
| 1225357981 | Lovelace Health System, Inc. | Clinic/Center | 11000 Broadway Blvd Se, Suite 1, Albuquerque, NM 87105-7469 | 2010-05-20 |
| 1124177696 | Torre D. Near D/b/a Statmed LLC | Clinic/Center | 3916 Carlisle Blvd Ne, Suite G, Albuquerque, NM 87107-4556 | 2007-01-10 |
| 1356405369 | St. Christopher Inc | Clinic/Center | 2800 San Mateo Blvd Ne, Suite 107, Albuquerque, NM 87110-3135 | 2006-12-21 |
| 1316545882 | Kingsley Clinic of New Mexico, LLC | Clinic/Center | 6300 Riverside Plaza Ln Nw Ste 100, Albuquerque, NM 87120-1908 | 2020-10-15 |
| 1902324692 | Turquoise Trail Primary Care LLC | Clinic/Center | 3825 Eubank Blvd Ne Ste C, Albuquerque, NM 87111-3559 | 2017-09-01 |
| 1831636687 | Nancy Elliott | Clinic/Center | 8300 Constitution Ne, Room 1303, Albuquerque, NM 87110 | 2017-01-31 |
| 1255784658 | Hippocare, Inc | Clinic/Center | 3911 4th St Nw Ste B, Albuquerque, NM 87107-2510 | 2016-07-20 |
| 1124470703 | Life Family Healthcare, LLC | Clinic/Center | 717 Encino Pl Ne, Suite 4, Albuquerque, NM 87102-2611 | 2016-07-07 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
Please comment or provide details below to improve the information on LUMA KAI, LLC.
| 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.