LOS CEDROS FAMILY MEDICINE, LLC (NPI# 1558693689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558693689 |
| Entity Type | Organization |
| Organization Name | LOS CEDROS FAMILY MEDICINE, LLC |
| Practice Address |
9004 Menaul Blvd Ne Suite 7 Albuquerque NM 87112-2259 |
| Practice Telephone | 5052988866 |
| Practice Fax Number | 5052988867 |
| Mailing Telephone | 5052988866 |
| Mailing Fax Number | 5052988867 |
| Enumeration Date | 2010-01-29 |
| Last Update Date | 2010-01-29 |
| Authorized Official Name | DR. BENJAMIN CHAN (MEMBER) |
| Authorized Official Telephone | 5052988866 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
2000-157 | NM | Ambulatory Health Care Facilities |
| Street Address |
9004 MENAUL BLVD NE SUITE 7 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87112-2259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295814804 | Lee Francis Purcaro | Chiropractor | 9004 Menaul Blvd Ne, Suite #9, Albuquerque, NM 87112-2259 | 2006-11-03 |
| 1902134356 | Lee F. Purcaro D.c. L.L.C. | Chiropractor | 9004 Menaul Blvd Ne, Suite 9, Albuquerque, NM 87112-2259 | 2009-11-23 |
| 1629204417 | Robert Grant Gates | Counselor | 9004 Menaul Blvd Ne, Suite 10, Albuquerque, NM 87112-2259 | 2009-06-07 |
| 1669622189 | Families Together/self Realization Therapy | Social Worker | 9004 Menaul Blvd Ne, Albuquerque, NM 87112-2259 | 2008-09-19 |
| 1235391442 | Michele Ann Emberger | Chiropractor | 9004 Menaul Blvd Ne, Suite 9, Albuquerque, NM 87112-2259 | 2008-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356999411 | Lynn Eileen Riley | Counselor | 10205 Stovall Pl Ne, Albuquerque, NM 87112 | 2019-08-30 |
| 1548818222 | Cindy D Montoya | Technician | 11405 Snow Heights Blvd Ne, Albuquerque, NM 87112 | 2019-08-27 |
| 1194387449 | Karen Sue Stockham | Counselor | 9024 Aspen Ave Ne, Albuquerque, NM 87112 | 2019-07-07 |
| 1316416837 | New Beginning Counseling Services Inc | Counselor | 2617 Juan Tabo Blvd Ne Unit A/d, Albuquerque, NM 87112 | 2018-11-14 |
| 1306365929 | Calyx Institute LLC | Social Worker | 10701 Lomas Blvd Ne, Ste. 101, Albuquerque, NM 87112 | 2017-09-14 |
| 1811411135 | Annette Romero | Case Manager/Care Coordinator | 9741 Candelaria, Albuquerque, NM 87112 | 2017-07-28 |
| 1851814784 | Ally Renee Funkhouser Dye | Pediatrics | 2130 Eubank Blvd Ne, Albuquerque, NM 87112 | 2017-07-23 |
| 1508303140 | Makena Bailey Nash | Behavior Technician | 12801 Indian School Ne Apt 508, Albuquerque, NM 87112 | 2017-01-20 |
| 1477978906 | Albert R Toya | Massage Therapist | 2601 Wyoming Blvd N.e. Room 115-c, Albuquerque, NM 87112 | 2014-02-20 |
| 1184918104 | Jennifer E Chavez | Counselor | 1505 Marron Circle Ne, Albuquerque, NM 87112 | 2011-06-07 |
| Find all providers in zip 87112 | ||||
| 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 |
| 1306158860 | Luma Kai, LLC | Clinic/Center | 3701 San Mateo Blvd Ne, Albuquerque, NM 87110-1230 | 2010-07-12 |
| 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 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87112 |
Please comment or provide details below to improve the information on LOS CEDROS FAMILY MEDICINE, 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.