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MAYEDEL A SAN JOSE PC
NPI 1083305510
Nurse Practitioner - Family in Santa Teresa, NM

Active since May 16, 2023
1245 COUNTRY CLUB RD STE 200, SANTA TERESA, NM 88008(575) 332-4633(877) 209-8941 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mayedel A San Jose Pc NPPES

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

MAYEDEL A SAN JOSE PC (NPI 1083305510), doing business as San Jose Wellness Center, is a healthcare organization registered as a family in Santa Teresa, New Mexico and active in the NPI registry since May 2023. The organization lists Mayedel San Jose, Owner, as its authorized official.

NPPES Registry Identity

NPI1083305510
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMAYEDEL A SAN JOSE PC
Location Address1245 COUNTRY CLUB RD STE 200Santa Teresa, NM 88008-9743
Mailing Address1245 Country Club Rd Ste 200Santa Teresa, NM 88008-9743 · (575) 332-4633 · Fax (877) 209-8941
Phone(575) 332-4633
Fax(877) 209-8941
Organization SubpartNo
Authorized OfficialMayedel San JoseOwner · (575) 332-4633
Enumeration DateMay 16, 2023
Last NPPES UpdateSeptember 25, 2025
NPPES CertifiedSeptember 25, 2025
✔ NPI 1083305510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
1245 COUNTRY CLUB RD STE 200, Santa Teresa, NM 88008
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Other Names 1

Doing Business AsSan Jose Wellness Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 5

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

MARIN TELEHEALTH
Nurse Practitioner (Primary Care)
1245 COUNTRY CLUB RD STE 200
SANTA TERESA, NM 88008
Doña Ana County (575) 332-4633
NANCY SOSA APRN, FNP-C
Family Medicine
1245 COUNTRY CLUB RD STE 200
SANTA TERESA, NM 88008
Doña Ana County (575) 332-4633
DR. ANILA EJJIGANI MD
Pediatrics
1245 COUNTRY CLUB RD STE 200
SANTA TERESA, NM 88008
Doña Ana County (575) 332-4633
MAYEDEL SAN JOSE DNP, APRN, FNP-C
Nurse Practitioner (Family)
1245 COUNTRY CLUB RD STE 200
SANTA TERESA, NM 88008
Doña Ana County (575) 332-4633
DENOVO CLINICAL SPECIALISTS, P.C.
Clinic/Center (Primary Care)
1245 COUNTRY CLUB RD STE 200
SANTA TERESA, NM 88008
Doña Ana County (575) 332-4633

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 Mayedel A San Jose PC's NPI number?

The NPI number for Mayedel A San Jose PC is 1083305510. It was assigned to this organization in the NPPES registry on May 16, 2023. The provider is doing business as San Jose Wellness Center.

Where is Mayedel A San Jose PC located?

Mayedel A San Jose PC is located at 1245 Country Club Rd Ste 200, Santa Teresa, NM 88008. The listed phone number is (575) 332-4633.

What is Mayedel A San Jose PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Mayedel A San Jose PC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Mayedel A San Jose PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mayedel A San Jose PC was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.