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LOTUS FAMILY HEALTH & WELLNESS, LLC
NPI 1780059469
Clinic/Center - Primary Care in Albuquerque, NM

Active since December 07, 2015CLIA 32D2174479 · Waiver
4504 4TH ST NW STE A, ALBUQUERQUE, NM 87107(505) 896-1222(505) 896-1444 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 15, 2021, Dec 7, 2015 (2 updates tracked since 2015).

About Lotus Family Health & Wellness, Llc NPPES

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

LOTUS FAMILY HEALTH & WELLNESS, LLC (NPI 1780059469) is a healthcare organization registered as a primary care in Albuquerque, New Mexico and active in the NPI registry since December 2015. The organization holds a CLIA Waiver certificate valid through October 31, 2027 and lists Yvonne Vanarsdale-imani, Owner, as its authorized official.

NPPES Registry Identity

NPI1780059469
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLOTUS FAMILY HEALTH & WELLNESS, LLC
Location Address4504 4TH ST NW STE AAlbuquerque, NM 87107-3956
Mailing Address12231 Academy Rd Ne, Ste 301-117Albuquerque, NM 87111-7236 · (505) 896-1222 · Fax (505) 896-1444
Phone(505) 896-1222
Fax(505) 896-1444
Organization SubpartNo
Authorized OfficialYvonne Vanarsdale-imaniOwner · (505) 896-1222
Enumeration DateDecember 7, 2015
Last NPPES UpdateApril 15, 20212 updates tracked since enumeration
NPPES CertifiedApril 15, 2021
✔ NPI 1780059469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NM · MD2004-0550
4504 4TH ST NW STE A, Albuquerque, NM 87107
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lotus Family Health & Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lotus Family Health & Wellness, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Yvonne Vanarsdale-Imani, MD
Family Practice
NPI 1861497901
4504 4TH ST NW STE A
Albuquerque, NM 87107
(505) 896-1222
✔ PECOS✔ Accepts MedicareSame address

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 of Waiver 32D2174479

Lotus Familyhealth & Wellsness · Albuquerque, NM
Active · expires Oct 31, 2027
CLIA Number32D2174479
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2025
Certificate Expiration DateOctober 31, 2027
Laboratory DirectorDr. Yvonne Vanarsdale-Imani
Laboratory Phone(505) 896-1222
Laboratory LocationLotus Familyhealth & Wellsness4504 4th Street NW, Albuquerque, NM 87107
CLIA data matches this NPI record on: Address 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 Lotus Family Health & Wellness, LLC's NPI number?

The NPI number for Lotus Family Health & Wellness, LLC is 1780059469. It was assigned to this organization in the NPPES registry on December 7, 2015.

Where is Lotus Family Health & Wellness, LLC located?

Lotus Family Health & Wellness, LLC is located at 4504 4th St NW Ste A, Albuquerque, NM 87107. The listed phone number is (505) 896-1222.

What is Lotus Family Health & Wellness, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Lotus Family Health & Wellness, LLC enrolled in Medicare?

Yes. Lotus Family Health & Wellness, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lotus Family Health & Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Lotus Family Health & Wellness, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Lotus Family Health & Wellness, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2174479) is associated with this NPI, valid through October 31, 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 Lotus Family Health & Wellness, LLC was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.