DAVITA MEDICAL GROUP
NPI 1326338963
Nurse Practitioner - Acute Care in Albuquerque, NM
About Davita Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVITA MEDICAL GROUP (NPI 1326338963) is a healthcare organization registered as an acute care in Albuquerque, New Mexico and active in the NPI registry since April 2011. The organization lists John G Liethen, Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALBUQUERQUE, NM 87108
ALBUQUERQUE, NM 87108
ALBUQUERQUE, NM 87108
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 Optumcare New Mexico, LLC's NPI number?
The NPI number for Optumcare New Mexico, LLC is 1326338963. It was assigned to this organization in the NPPES registry on April 17, 2011. The provider is doing business as Davita Medical Group.
Where is Optumcare New Mexico, LLC located?
Optumcare New Mexico, LLC is located at 5400 Gibson Blvd SE, Albuquerque, NM 87108. The listed phone number is (505) 262-7026.
What is Optumcare New Mexico, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
When was this NPI record last updated?
The NPPES record for Optumcare New Mexico, LLC was last updated on August 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Davita Medical Group · NPI 1326338963
Acute Care organization in Albuquerque, New Mexico. Organization record, active in the CMS NPPES registry since April 17, 2011.
## Identity
- **NPI:** 1326338963 (Entity type: Organization)
- **Enumerated:** April 17, 2011
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **Legal business name:** Optumcare New Mexico, Llc
- **Organization subpart:** No
- **Authorized official:** John Liethen, SECRETARY
## Practice location
- **Address:** 5400 GIBSON BLVD SE, Albuquerque, NM 87108-4729
- **Phone:** (505) 262-7026
## Record status
- **NPPES last updated:** August 22, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1326338963) · Data from the CMS NPPES public registry.