Doctors of Santa Teresa PC
NPI 1639121692ActiveOrganization· Family Medicine· Santa Teresa, NM
Family Medicine in Santa Teresa, New Mexico, registered in NPPES in May 2006. The authorized official on file is Jennifer Larsen, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639121692 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 17, 2006 |
| Last updated in NPPES | Jan 29, 2025 |
| Certified by provider | Jan 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | CL00010400 | NM |
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) | Enrolled Part B Supplier - Clinic/Group Practice (NM) |
|---|
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