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PUEBLO OF SANDIA
NPI 1548588643
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Bernalillo, NM

Active since May 13, 2010CLIA 32D0893867 · Microscopy
203 SANDIA DAY SCHOOL ROAD, BERNALILLO, NM 87004(505) 867-4696(505) 771-5107 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 22, 2025, Apr 7, 2020, Mar 10, 2020 and 2 more (5 updates tracked since 2015).

About Pueblo Of Sandia NPPES

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

PUEBLO OF SANDIA (NPI 1548588643), doing business as Sandia Health Center, is a healthcare organization registered as an indian health service/tribal/urban indian health (i/t/u) pharmacy in Bernalillo, New Mexico and active in the NPI registry since May 2010. The organization holds a CLIA Microscopy certificate valid through May 10, 2027 and lists Gwendolyn Waseta, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1548588643
Entity TypeOrganization
Primary Taxonomy332800000X
Legal Business NamePUEBLO OF SANDIA
Location Address203 SANDIA DAY SCHOOL ROADBernalillo, NM 87004-7076
Mailing Address481 Sandia LoopBernalillo, NM 87004-7076 · (505) 867-4696 · Fax (505) 867-4997
Phone(505) 867-4696
Fax(505) 771-5107
Organization SubpartNo
Authorized OfficialGwendolyn WasetaBusiness Office Manager · (505) 771-5174
Enumeration DateMay 13, 2010
Last NPPES UpdateMay 22, 20255 updates tracked since enumeration
NPPES CertifiedMay 22, 2025
✔ NPI 1548588643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
Taxonomy Code332800000X
Definition
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
203 SANDIA DAY SCHOOL ROAD, Bernalillo, NM 87004
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Other Names 1

Doing Business AsSandia Health Center

Other Identifiers 1

Medicaid35922079NM

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pueblo Of Sandia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Pueblo Of Sandia, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Cathleen Durell, M.D.
Family Practice
NPI 1356497879
203 SANDIA DAY SCHOOL ROAD
Bernalillo, NM 87004
(505) 867-4696
✔ PECOSSame address
Robin Lovato, PT
Physical Therapist in Private Practice
NPI 1922351238
203 SANDIA DAY SCHOOL ROAD
Bernalillo, NM 87004
(505) 771-5135
✔ Accepts MedicareSame address
Janet Simon, DPM
Podiatry
NPI 1316943897
8300 CARMEL AVE NE STE 501
Albuquerque, NM 87122
(505) 797-1001
✔ PECOS✔ Accepts Medicare5.9 mi
Anthony Fleg, MD, MPH
Family Practice
NPI 1538333554
3001 BORADMOOR BLVD NE UNM SANDOVAL REGIONAL MEDICAL CENTER
Rio Rancho, NM 87144
(505) 994-7000
✔ PECOS✔ Accepts Medicare7.0 mi
Todd Powell, AU.D.
Qualified Audiologist
NPI 1821375361
7001 PROSPECT PL NE
Albuquerque, NM 87110
(505) 764-0036
✔ Accepts Medicare10 mi
Minhnga Tran, D.O.
Family Practice
NPI 1295992576
801 ENCINO PL NE STE C-1
Albuquerque, NM 87102
(505) 272-1475
✔ PECOS✔ Accepts Medicare12 mi
Jason Kurland, M.D.
Family Practice
NPI 1578889044
ROUTE 301 NORTH 21 B AVENUE
Zuni, NM 87327
(505) 782-4431
✔ PECOS129 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 for Provider-Performed Microscopy Procedures (PPMP) 32D0893867

Pueblo Of Sandia Health Center · Bernalillo, NM
Active · expires May 10, 2027
CLIA Number32D0893867
Laboratory TypeIndian Hth Ctr-Tribal 638
Certificate Effective DateMay 11, 2025
Certificate Expiration DateMay 10, 2027
Laboratory DirectorDr. Maxsimo Torres
Laboratory Phone(505) 867-4696
Laboratory LocationPueblo Of Sandia Health Center203 Sandia Day School Road, Bernalillo, NM 87004
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Pueblo Of Sandia's NPI number?

The NPI number for Pueblo Of Sandia is 1548588643. It was assigned to this organization in the NPPES registry on May 13, 2010. The provider is doing business as Sandia Health Center.

Where is Pueblo Of Sandia located?

Pueblo Of Sandia is located at 203 Sandia Day School Road, Bernalillo, NM 87004. The listed phone number is (505) 867-4696.

What is Pueblo Of Sandia's specialty?

The primary specialty registered for this NPI is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.

Is Pueblo Of Sandia enrolled in Medicare?

Yes. Pueblo Of Sandia is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pueblo Of Sandia?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Pueblo Of Sandia. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (4), Physical Therapist in Private Practice (1) and Podiatry (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pueblo Of Sandia hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 32D0893867) is associated with this NPI, valid through May 10, 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 Pueblo Of Sandia was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.