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KLARISANA PHYSICIAN SERVICES PLLC
NPI 1306503446
General Practice in Longmont, CO

Active since November 23, 2021
916 S MAIN ST UNIT 208, LONGMONT, CO 80501(210) 556-1430(888) 504-2390 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Klarisana Physician Services Pllc NPPES

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

KLARISANA PHYSICIAN SERVICES PLLC (NPI 1306503446) is a healthcare organization registered as a general practice in Longmont, Colorado and active in the NPI registry since November 2021. The organization lists Alyssa Soto, Administrative Director, as its authorized official.

NPPES Registry Identity

NPI1306503446
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameKLARISANA PHYSICIAN SERVICES PLLC
Location Address916 S MAIN ST UNIT 208Longmont, CO 80501-6617
Mailing Address8600 Wurzbach Rd Ste 1110San Antonio, TX 78240-4334 · (210) 556-1430 · Fax (888) 504-2390
Phone(210) 556-1430
Fax(888) 504-2390
Organization SubpartNo
Authorized OfficialAlyssa SotoAdministrative Director · (210) 556-1430
Enumeration DateNovember 23, 2021
NPPES CertifiedNovember 23, 2021
✔ NPI 1306503446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
916 S MAIN ST UNIT 208, Longmont, CO 80501
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Klarisana Physician Services PLLC's NPI number?

The NPI number for Klarisana Physician Services PLLC is 1306503446. It was assigned to this organization in the NPPES registry on November 23, 2021.

Where is Klarisana Physician Services PLLC located?

Klarisana Physician Services PLLC is located at 916 S Main St Unit 208, Longmont, CO 80501. The listed phone number is (210) 556-1430.

What is Klarisana Physician Services PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Klarisana Physician Services PLLC was last updated on November 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.