LA FAMILIA PRIMARY CARE (NPI# 1912383001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912383001 |
| Entity Type | Organization |
| Organization Name | LA FAMILIA PRIMARY CARE |
| Practice Address |
190 Hospital Dr Raton NM 87740-2002 |
| Practice Telephone | 5754455563 |
| Practice Fax Number | 5754455566 |
| Mailing Telephone | 5754455563 |
| Mailing Fax Number | 5754455566 |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2019-06-26 |
| Authorized Official Name | UNKNOWN PERSON (DONT KNOW) |
| Authorized Official Telephone | 5754455563 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 96-165 | NM | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 00T6653 | 05 | |
| CO | 01224930 | 05 | |
| NM | 75656302 | 05 |
| Street Address |
190 HOSPITAL DR |
| City | RATON |
| State | NM |
| Zip Code | 87740-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758634 | Zia Healthcare Services LLC | Clinical Nurse Specialist | 190 Hospital Dr, Raton, NM 87740-2002 | 2020-04-06 |
| 1306132899 | Aileen C Romero | Nurse Practitioner | 190 Hospital Dr, Raton, NM 87740-2002 | 2011-06-22 |
| 1366525537 | La Familia Primary Care P C | Clinic/Center | 190 Hospital Dr, Raton, NM 87740-2002 | 2006-10-23 |
| 1285735332 | Misbah Darweesh Zmily | Internal Medicine | 190 Hospital Dr, Raton, NM 87740-2002 | 2006-09-25 |
| 1194822122 | Mark H Bayliss | Physician Assistant | 190 Hospital Dr, Raton, NM 87740-2002 | 2006-09-20 |
| 1053387282 | Hugh Edward Naylor IIi | Internal Medicine | 190 Hospital Dr, Raton, NM 87740-2002 | 2006-02-27 |
| 1609873355 | Marcia Louise Hefker | Nurse Practitioner | 190 Hospital Dr, Raton, NM 87740-2002 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235634346 | Zia Healthcare Services LLC | Pathology | 168 Hospital Dr, Raton, NM 87740 | 2018-03-29 |
| 1538660428 | Sarah Rebecca Bales | Social Worker | 106 Cook Ave Apt 2-b, Raton, NM 87740 | 2018-02-26 |
| 1144695966 | Susanne Tripodi | Acupuncturist | 201 Cook Ave, Raton, NM 87740 | 2015-12-04 |
| 1942559588 | Candice Brook Adams | Psychologist | 101 North Second Street, Raton, NM 87740 | 2012-08-29 |
| 1184981227 | Jewel Berry | Counselor | 501 South Fourth Street, Raton, NM 87740 | 2012-04-13 |
| 1053696518 | William Stephen Stanley | Pharmacist | 955 South Second Street, Del Norte Pharmacy, Raton, NM 87740 | 2011-10-17 |
| 1144536459 | Karin M Murray | Pharmacist | 1275-a South 2nd St, Raton, NM 87740 | 2010-08-24 |
| 1043526361 | Troy N. Murray | Pharmacist | 1275-a South 2nd St., Raton, NM 87740 | 2010-08-24 |
| 1962730010 | Tiger Den Wellness Center | Local Education Agency (LEA) | 1535 Tiger Circle, Raton, NM 87740 | 2009-12-01 |
| 1407182678 | Billy Mastrantoni | Counselor | 130 N Second St, Raton, NM 87740 | 2009-10-23 |
| Find all providers in zip 87740 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063809085 | Rio Sedillo Assisted Living | Preferred Provider Organization | 133 Camino, Los Chavez, Los Lunas, NM 87031 | 2015-04-16 |
| 1093750457 | Harold K. Mcfarling, D.o., P.C. | Preferred Provider Organization | 503 N Auburn Ave, Farmington, NM 87401-2606 | 2006-06-19 |
| 1053860585 | Rebecca Frock Ma, Lpcc | Preferred Provider Organization | 320 Osuna Rd Ne, Suite 4h, Albuquerque, NM 87107-5952 | 2016-09-26 |
| 1821364902 | Family Clinic of New Mexico | Preferred Provider Organization | 4600 Jefferson Ln Ne, Suite D, Albuquerque, NM 87109-2134 | 2012-03-22 |
| 1043459571 | Los Alamos Urgent Care | Preferred Provider Organization | 3600 Rodeo Ln, Suite A-1, Santa Fe, NM 87507-6400 | 2009-02-06 |
| 1710126248 | New Mexico Medworks | Preferred Provider Organization | 3600 Rodeo Ln, Suite A-1, Santa Fe, NM 87507-6400 | 2009-02-06 |
| 1487893012 | Valley First Care | Preferred Provider Organization | 3600 Rodeo Ln, Suite A1, Santa Fe, NM 87507-6400 | 2009-02-04 |
| 1700037678 | Corazon Family Health | Preferred Provider Organization | 4824 Mcmahon Blvd Nw, Suite 115, Albuquerque, NM 87114-5412 | 2008-10-09 |
| 1497948863 | James Simnacher,od,pa | Preferred Provider Organization | 901 E 21st St, Clovis, NM 88101-4400 | 2007-08-20 |
| 1538113055 | Taos Orthopaedic Institute, PC | Preferred Provider Organization | 1219 Gusdorf Rd, Taos, NM 87571-5402 | 2006-05-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LA FAMILIA PRIMARY CARE.
| 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.