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CITY DIFFERENT PRIMARY CARE, LLC
NPI 1063378271
Family Medicine in Santa Fe, NM

Active since December 31, 2025CLIA 32D2340168 · Microscopy
2085 S PACHECO ST, SANTA FE, NM 87505(505) 395-3000 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2026, Dec 31, 2025 (2 updates tracked since 2025).

About City Different Primary Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CITY DIFFERENT PRIMARY CARE, LLC (NPI 1063378271) is a healthcare organization registered as a family medicine in Santa Fe, New Mexico and active in the NPI registry since December 2025. The organization holds a CLIA Microscopy certificate valid through March 11, 2028 and lists Robert Blakeburn, Owner, as its authorized official.

NPPES Registry Identity

NPI1063378271
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCITY DIFFERENT PRIMARY CARE, LLC
Location Address2085 S PACHECO STSanta Fe, NM 87505-6103
Mailing Address2085 S Pacheco StSanta Fe, NM 87505-6103
Phone(505) 395-3000
Organization SubpartNo
Authorized OfficialRobert BlakeburnOwner · (580) 445-0773
Enumeration DateDecember 31, 2025
Last NPPES UpdateJanuary 9, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2026
✔ NPI 1063378271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
2085 S PACHECO ST, Santa Fe, NM 87505
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 32D2340168

City Different Primary Care · Santa Fe, NM
Active · expires Mar 11, 2028
CLIA Number32D2340168
Laboratory TypePhysician Office
Certificate Effective DateMarch 12, 2026
Certificate Expiration DateMarch 11, 2028
Laboratory DirectorRobert Blakeburn
Laboratory Phone(505) 395-3000
Laboratory LocationCity Different Primary Care2085 S Pacheco St, Santa Fe, NM 87505
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YANET CORA KOPNINA MD
Family Medicine
2085 S PACHECO ST
SANTA FE, NM 87505
Santa Fe County (505) 477-2200
NEXUS HEALTH PRIMARY CARE LLC
Family Medicine
2085 S PACHECO ST
SANTA FE, NM 87505
Santa Fe County (505) 395-3000
ROBERT VAN BLAKEBURN MD
Family Medicine
2085 S PACHECO ST
SANTA FE, NM 87505
Santa Fe County (505) 395-3000
DR. MARK GEORGE SEREDOWYCH M.D.
Internal Medicine
2085 S PACHECO ST
SANTA FE, NM 87505
Santa Fe County (505) 395-3050
SARA GARMON NP
Nurse Practitioner (Acute Care)
2085 S PACHECO ST
SANTA FE, NM 87505
Santa Fe County (505) 477-2200
KIMBER M STOUT MD
Internal Medicine (Interventional Cardiology)
2085 S PACHECO ST, SUITE A
SANTA FE, NM 87505
Santa Fe County (505) 984-8012
DR. MARK RICHARD ZOLNICK MD
Internal Medicine (Interventional Cardiology)
2085 S PACHECO ST
SANTA FE, NM 87505
Santa Fe County (505) 984-8012
MS. LINDA WASSNER APRN-BC
Nurse Practitioner (Family)
2085 S PACHECO ST
SANTA FE, NM 87505
Santa Fe County (505) 984-8012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is City Different Primary Care, LLC's NPI number?

The NPI number for City Different Primary Care, LLC is 1063378271. It was assigned to this organization in the NPPES registry on December 31, 2025.

Where is City Different Primary Care, LLC located?

City Different Primary Care, LLC is located at 2085 S Pacheco St, Santa Fe, NM 87505. The listed phone number is (505) 395-3000.

What is City Different Primary Care, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does City Different Primary Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 32D2340168) is associated with this NPI, valid through March 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for City Different Primary Care, LLC was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.