San Miguel Clinic Corp
NPI 1114920717ActiveOrganization· Family Medicine· Las Vegas, NM
Family Medicine in Las Vegas, New Mexico, registered in NPPES in May 2005. The authorized official on file is Shelly Mae Scoggin, Director Of Revenue Cycle.
Overview
| NPI | 1114920717 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 27, 2005 |
| Last updated in NPPES | Sep 28, 2026 |
| Certified by provider | Sep 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Family Medicine providers in Las Vegas
- 1699688218
- 1003053679
- 1841204294
- 1790157980
- 1417917816
- 1932709599
- 1619960069
- 1841247327
- 1336132786
- 1518078419
- 1295217818
- 1750374112