1. Home
  2. Directory
  3. New Mexico
  4. Bosque Farms
  5. Nurse Practitioner
  6. NPI Profile

SOUTHWEST MEDICAL CLINIC INC
NPI 1144468075
Nurse Practitioner - Family in Bosque Farms, NM

Active since January 30, 2009CLIA 32D1100168 · Waiver
2230 BOSQUE FARMS BLVD, BOSQUE FARMS, NM 87068(505) 869-0300 Get Directions Write a Review

NPPES record last updated: May 26, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southwest Medical Clinic Inc NPPES

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

SOUTHWEST MEDICAL CLINIC INC (NPI 1144468075) is a healthcare organization registered as a family in Bosque Farms, New Mexico and active in the NPI registry since January 2009. The organization holds a CLIA Waiver certificate valid through May 31, 2027 and lists Fatemeh Mansoori, Owner/ Provider, as its authorized official.

NPPES Registry Identity

NPI1144468075
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSOUTHWEST MEDICAL CLINIC INC
Location Address2230 BOSQUE FARMS BLVDBosque Farms, NM 87068-9334
Mailing Address2230 Bosque Farms BlvdBosque Farms, NM 87068-9334 · (505) 975-7269
Phone(505) 869-0300
Organization SubpartNo
Authorized OfficialFatemeh MansooriOwner/ Provider · (505) 869-0300
Enumeration DateJanuary 30, 2009
Last NPPES UpdateMay 26, 2009
✔ NPI 1144468075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NM · R37006
2230 BOSQUE FARMS BLVD, Bosque Farms, NM 87068
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINQ34901NM
Medicaid25079310NM
Other349531402NM · Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 of Waiver 32D1100168

Southwest Medical Clinic Inc · Bosque Farms, NM
Active · expires May 31, 2027
CLIA Number32D1100168
Laboratory TypePractitioner Other
Certificate Effective DateJune 1, 2025
Certificate Expiration DateMay 31, 2027
Laboratory DirectorFatemeh Mansoori
Laboratory Phone(505) 869-0300
Laboratory LocationSouthwest Medical Clinic Inc2230 Bosque Farms Blvd, Bosque Farms, NM 87068
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

FATEMEH MANSOORI C.F.N.P
Family Medicine
2230 BOSQUE FARMS BLVD
BOSQUE FARMS, NM 87068
Valencia County (505) 869-0300

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 Southwest Medical Clinic Inc's NPI number?

The NPI number for Southwest Medical Clinic Inc is 1144468075. It was assigned to this organization in the NPPES registry on January 30, 2009.

Where is Southwest Medical Clinic Inc located?

Southwest Medical Clinic Inc is located at 2230 Bosque Farms Blvd, Bosque Farms, NM 87068. The listed phone number is (505) 869-0300.

What is Southwest Medical Clinic Inc's specialty?

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

Does Southwest Medical Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D1100168) is associated with this NPI, valid through May 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southwest Medical Clinic Inc was last updated on May 26, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.