CLINICA LA ESPERANZA
NPI 1568768042
Clinic/Center in Albuquerque, NM

Active since February 01, 2011CLIA 32D2027496 · Microscopy
4201 CENTRAL AVE NW, K3, ALBUQUERQUE, NM 87105(505) 717-1685 Get Directions Write a Review

NPPES record last updated: January 19, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Clinica La Esperanza NPPES

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

CLINICA LA ESPERANZA (NPI 1568768042) is a healthcare organization registered as a clinic/center in Albuquerque, New Mexico and active in the NPI registry since February 2011. The organization holds a CLIA Microscopy certificate valid through July 25, 2027 and lists Olena Dziuba, Cfo, as its authorized official.

NPPES Registry Identity

NPI1568768042
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameOMNI MEDICAL GROUP LLC
Location Address4201 CENTRAL AVE NW, K3Albuquerque, NM 87105-1630
Mailing Address4201 Central Ave Nw, Ste K3Albuquerque, NM 87105-1630 · (505) 508-1739
Organization SubpartNo
Authorized OfficialOlena DziubaCfo · (505) 573-2495
Enumeration DateFebruary 1, 2011
Last NPPES UpdateJanuary 19, 2015
✔ NPI 1568768042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedNeuromusculoskeletal Medicine, Sports MedicineTaxonomy 204C00000X · License 6556 (NM)
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA20030032 (NM)
4201 CENTRAL AVE NW, Albuquerque, NM 87105

Other Names 1

Doing Business AsClinica La Esperanza

Other Identifiers 1

Medicaid5126223NM

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clinica La Esperanza is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Clinica La Esperanza, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner13
Certified Clinical Nurse Specialist (CNS)1
Family Practice1
General Practice1

Clinicians, nearest first (16)

Nurse Practitioner
NPI 1811569841
4201 CENTRAL AVE NW # 3
Albuquerque, NM 87105
(505) 508-1739
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1245858455
4201 CENTRAL AVE NW # 3
Albuquerque, NM 87105
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1477271211
4201 CENTRAL AVE NW STE 3
Albuquerque, NM 87105
(505) 508-1739
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1780690354
1231 CANDELARIA RD NW M-I/FAMILY HEALTH, NW VALLEY
Albuquerque, NM 87107
(505) 272-2158
✔ PECOS✔ Accepts Medicare3.0 mi
Nurse Practitioner
NPI 1215942768
1ST FAMILY PRACTICE CTR 2400 TUCKER NE
Albuquerque, NM 87131
(505) 272-3131
✔ PECOS3.9 mi
Nurse Practitioner
NPI 1053830372
4410 IRVING BLVD NW STE 200
Albuquerque, NM 87114
(505) 418-8919
✔ PECOS✔ Accepts Medicare7.2 mi
Certified Clinical Nurse Specialist (CNS)
NPI 1740338086
6100 PAN AMERICAN FREEWAY, NE SUITE 390
Albuquerque, NM 87109
(505) 823-1805
✔ PECOS7.4 mi
Nurse Practitioner
NPI 1689941817
3825 EUBANK BLVD NE
Albuquerque, NM 87111
(505) 292-8575
✔ PECOS✔ Accepts Medicare9.1 mi
Family Practice
NPI 1497930176
8208 LOUISIANA BLVD NE STE C
Albuquerque, NM 87113
(505) 858-1222
✔ PECOS✔ Accepts Medicare9.1 mi
General Practice
NPI 1194800334
1400 BARBARA LOOP SE STE A
Rio Rancho, NM 87124
(505) 892-9711
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1356049449
1400 BARBARA LOOP SE STE A
Rio Rancho, NM 87124
(505) 414-6449
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1477285567
1400 BARBARA LOOP SE
Rio Rancho, NM 87124
(505) 414-6449
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1841782877
1101 GOLF COURSE RD SE STE 201
Rio Rancho, NM 87124
(505) 414-6449
✔ PECOS10 mi
Nurse Practitioner
NPI 1730720632
104 QUAIL TRL STE B
Edgewood, NM 87015
(505) 208-0211
✔ PECOS29 mi
Nurse Practitioner
NPI 1962015958
6349 US HIGHWAY 550
Cuba, NM 87013
(575) 289-3291
✔ PECOS✔ Accepts Medicare66 mi
Nurse Practitioner
NPI 1295080471
2170 E LOHMAN AVE STE A
Las Cruces, NM 88001
(056) 818-2955
✔ PECOS✔ Accepts Medicare191 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) 32D2027496

Omni Medical Group LLC Dba Clinica La Esperanza · Albuquerque, NM
Active · expires Jul 25, 2027
CLIA Number32D2027496
Laboratory TypePractitioner Other
Certificate Effective DateJuly 26, 2025
Certificate Expiration DateJuly 25, 2027
Laboratory DirectorRobert M. Martin
Laboratory Phone(505) 508-1739
Laboratory LocationOmni Medical Group LLC Dba Clinica La Esperanza4201 Central Ave NW Suite K3, Albuquerque, NM 87105
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 Omni Medical Group LLC's NPI number?

The NPI number for Omni Medical Group LLC is 1568768042. It was assigned to this organization in the NPPES registry on February 1, 2011. The provider is doing business as Clinica La Esperanza.

Where is Omni Medical Group LLC located?

Omni Medical Group LLC is located at 4201 Central Ave NW K3, Albuquerque, NM 87105. The listed phone number is (505) 717-1685.

What is Omni Medical Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Omni Medical Group LLC enrolled in Medicare?

Yes. Omni Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Omni Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 4 Medicare specialties reassign their Medicare billing to Omni Medical Group LLC. 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 Nurse Practitioner (13), Certified Clinical Nurse Specialist (CNS) (1) and Family Practice (1). Of these, 2 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Omni Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 32D2027496) is associated with this NPI, valid through July 25, 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 Omni Medical Group LLC was last updated on January 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.