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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: August 02, 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

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.

Other Providers at the Same Location NPPES 4

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

DR. CATHLEEN DURELL M.D.
Family Medicine
203 SANDIA DAY SCHOOL ROAD
BERNALILLO, NM 87004
Sandoval County (505) 867-4696
PUEBLO OF SANDIA
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
203 SANDIA DAY SCHOOL ROAD
BERNALILLO, NM 87004
Sandoval County (505) 867-4696
DR. DIANNA LYNNE FURY MD
Family Medicine
203 SANDIA DAY SCHOOL ROAD
BERNALILLO, NM 87004
Sandoval County (505) 867-4696
ROBIN LOVATO PT
Physical Therapist
203 SANDIA DAY SCHOOL ROAD
BERNALILLO, NM 87004
Sandoval County (505) 771-5135

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.

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 14 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.