MOLINA MEDICAL GROUP OF NEW MEXICO, PC
NPI 1194150318
Family Medicine in Santa Fe, NM

Active since September 06, 2013
1714 SAINT MICHAELS DR # 1, SANTA FE, NM 87505(505) 490-4042(877) 846-3680 Get Directions Write a Review

NPPES record last updated: May 27, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Molina Medical Group Of New Mexico, Pc NPPES

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

MOLINA MEDICAL GROUP OF NEW MEXICO, PC (NPI 1194150318) is a healthcare organization registered as a family medicine in Santa Fe, New Mexico and active in the NPI registry since September 2013. The organization lists Gloria Calderon, Vp, Clinic Operations, as its authorized official.

NPPES Registry Identity

NPI1194150318
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMOLINA MEDICAL GROUP OF NEW MEXICO, PC
Location Address1714 SAINT MICHAELS DR # 1Santa Fe, NM 87505-7617
Mailing Address200 Oceangate, Suite 100Long Beach, CA 90802-4317 · (505) 490-4042 · Fax (562) 499-6171
Fax(877) 846-3680
Organization SubpartNo
Authorized OfficialGloria CalderonVp, Clinic Operations · (562) 499-6191
Enumeration DateSeptember 6, 2013
Last NPPES UpdateMay 27, 2014
NPI 1194150318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

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 ListedSocial WorkerTaxonomy 104100000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
1714 SAINT MICHAELS DR # 1, Santa Fe, NM 87505

Other Identifiers 2

Medicaid72035005-EFF.1/21/14NM
Medicare PIN342566-EFF. 1/1/14NM

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

Other Providers at the Same Location NPPES

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

Nurse Practitioner
1714 SAINT MICHAELS DR # 1
SANTA FE, NM 87505

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 Molina Medical Group Of New Mexico, PC's NPI number?

The NPI number for Molina Medical Group Of New Mexico, PC is 1194150318. It was assigned to this organization in the NPPES registry on September 6, 2013.

Where is Molina Medical Group Of New Mexico, PC located?

Molina Medical Group Of New Mexico, PC is located at 1714 Saint Michaels Dr # 1, Santa Fe, NM 87505. The listed phone number is (505) 490-4042.

What is Molina Medical Group Of New Mexico, PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Molina Medical Group Of New Mexico, PC was last updated on May 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.