OAK STREET CLINIC
NPI 1801100466
Clinic/Center - Primary Care in Albuquerque, NM

Active since August 05, 2010
200 OAK ST NE, SUITE 2, ALBUQUERQUE, NM 87106(505) 508-0197(505) 508-0465 Get Directions Write a Review

NPPES record last updated: February 6, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Oak Street Clinic NPPES

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

OAK STREET CLINIC (NPI 1801100466) is a healthcare organization registered as a primary care in Albuquerque, New Mexico and active in the NPI registry since August 2010. The organization lists Jason Deluisa, Owner, as its authorized official.

NPPES Registry Identity

NPI1801100466
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBERNALILLO FAMILY HEALTH CLINIC, LLC
Location Address200 OAK ST NE, SUITE 2Albuquerque, NM 87106-4740
Mailing AddressPo Box 25744Albuquerque, NM 87125-0744 · (505) 508-0197 · Fax (505) 508-0465
Fax(505) 508-0465
Organization SubpartNo
Authorized OfficialJason DeluisaOwner · (505) 331-0295
Enumeration DateAugust 5, 2010
Last NPPES UpdateFebruary 6, 2015
NPI 1801100466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in NM · CNP-01518
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
200 OAK ST NE, Albuquerque, NM 87106

Other Names 1

Doing Business AsOak Street Clinic

Other Identifiers 9

MedicaidQ7732NM
Medicaid10326855NM
Medicaid37805771NM
Medicare NSC1568786085NM
Medicare PINNM301046NM
Medicare PINNMAAA0559NM
Medicare UPINNMAAA0558NM
Medicaid21253790NM
Medicaid77304853NM

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Gastroenterology)
200 OAK ST NE, SUITE 1
ALBUQUERQUE, NM 87106
Non-emergency Medical Transport (VAN)
200 OAK ST NE, SUITE 2
ALBUQUERQUE, NM 87106
Nurse Practitioner (Family)
200 OAK ST NE, SUITE 2
ALBUQUERQUE, NM 87106

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 Bernalillo Family Health Clinic, LLC's NPI number?

The NPI number for Bernalillo Family Health Clinic, LLC is 1801100466. It was assigned to this organization in the NPPES registry on August 5, 2010. The provider is doing business as Oak Street Clinic.

Where is Bernalillo Family Health Clinic, LLC located?

Bernalillo Family Health Clinic, LLC is located at 200 Oak St NE Suite 2, Albuquerque, NM 87106. The listed phone number is (505) 508-0197.

What is Bernalillo Family Health Clinic, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Bernalillo Family Health Clinic, LLC was last updated on February 6, 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.