Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SANDIA MEDICAL GROUP
NPI 1699669275
Family Medicine in Albuquerque, NM

Active since June 06, 2025CLIA 32D2329332 · Waiver
4700 JEFFERSON ST NE STE 700&800, ALBUQUERQUE, NM 87109(505) 437-5085 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 18, 2026, Mar 24, 2026, Jun 6, 2025 (3 updates tracked since 2025).

About Sandia Medical Group NPPES

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

SANDIA MEDICAL GROUP (NPI 1699669275) is a healthcare organization registered as a family medicine in Albuquerque, New Mexico and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through August 26, 2027, maintains a secondary practice location in Edgewood, and lists Kathryn White, Owner & Medical Director, as its authorized official.

NPPES Registry Identity

NPI1699669275
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSANDIA MEDICAL GROUP
Location Address4700 JEFFERSON ST NE STE 700&800Albuquerque, NM 87109-2136
Mailing Address4700 Jefferson St Ne Ste 700&800Albuquerque, NM 87109-2136 · (505) 437-5085
Organization SubpartNo
Authorized OfficialKathryn WhiteOwner & Medical Director · (505) 463-2691
Enumeration DateJune 6, 2025
Last NPPES UpdateAugust 18, 20263 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
NPI 1699669275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedDietitian, Registered · Nutrition, MetabolicTaxonomy 133VN1006X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
4700 JEFFERSON ST NE STE 700&800, Albuquerque, NM 87109

Secondary Practice Location 1

Location 11942 Old US 66 Ste BEdgewood, NM 87015-6745 · Phone (505) 437-5085

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

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 of Waiver 32D2329332

Sandia Medical Group · Albuquerque, NM
Active · expires Aug 26, 2027
CLIA Number32D2329332
Laboratory TypePractitioner Other
Certificate Effective DateAugust 27, 2025
Certificate Expiration DateAugust 26, 2027
Laboratory DirectorKathryn B. White
Laboratory Phone(505) 463-2691
Laboratory LocationSandia Medical Group7050 Barstow St NE, Albuquerque, NM 87111
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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 Sandia Medical Group's NPI number?

The NPI number for Sandia Medical Group is 1699669275. It was assigned to this organization in the NPPES registry on June 6, 2025.

Where is Sandia Medical Group located?

Sandia Medical Group is located at 4700 Jefferson St NE Ste 700&800, Albuquerque, NM 87109. The listed phone number is (505) 437-5085.

What is Sandia Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Sandia Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2329332) is associated with this NPI, valid through August 26, 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 Sandia Medical Group was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.