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DAVITA MEDICAL ENDOSCOPY
NPI 1962685834
Clinic/Center - Ambulatory Surgical in Albuquerque, NM

Active since December 13, 2007
5400 GIBSON BLVD SE, FLOOR 2; ELEVATOR C, ALBUQUERQUE, NM 87108(505) 262-7174(505) 262-3562 Get Directions Write a Review

NPPES record last updated: February 12, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 12, 2020, Aug 19, 2019, Feb 14, 2018 (3 updates tracked since 2018).

About Davita Medical Endoscopy NPPES

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

DAVITA MEDICAL ENDOSCOPY (NPI 1962685834) is a healthcare organization registered as an ambulatory surgical in Albuquerque, New Mexico and active in the NPI registry since December 2007. The organization lists John G Liethen, Secretary, as its authorized official.

NPPES Registry Identity

NPI1962685834
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameOPTUMCARE ENDOSCOPY CENTER NEW MEXICO, LLC
Location Address5400 GIBSON BLVD SE, FLOOR 2; ELEVATOR CAlbuquerque, NM 87108-4729
Mailing AddressPo Box 912680Denver, CO 80291-4729 · (505) 262-7000 · Fax (505) 262-7652
Phone(505) 262-7174
Fax(505) 262-3562
Organization SubpartYesParent: Davita Medical Group New Mexico, Llc
Authorized OfficialJohn G LiethenSecretary · (952) 205-6262
Enumeration DateDecember 13, 2007
Last NPPES UpdateFebruary 12, 20203 updates tracked since enumeration
✔ NPI 1962685834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in NM · PENDING
5400 GIBSON BLVD SE, Albuquerque, NM 87108
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Other Names 1

Doing Business AsDavita Medical Endoscopy

Other Providers at the Same Location NPPES 20

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

MS. MARIA MAGDALENA LOPEZ-VILLA PHARM D
Pharmacist
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 727-5915
BIKAL WAGLE
Nurse Practitioner
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 842-5550
DR. MARJORIE CYPRESS CNP
Nurse Practitioner (Adult Health)
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 262-7455
MATTHEW D POAGE MD
Emergency Medicine
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Bernalillo County (904) 805-1300
REMI LAWRENCE-HYLTON MD
Pediatrics
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 262-7000
HAVEN BEHAVIORAL SERVICES OF ALBUQUERQUE, LLC
Psychiatric Hospital
5400 GIBSON BLVD SE, 4TH FLOOR
ALBUQUERQUE, NM 87108
Bernalillo County (615) 393-8826
HORIZON SERVICES, INC
Substance Abuse Rehabilitation Facility
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Bernalillo County (510) 582-2100
MS. ALAINA NICOLE GARCIA LMSW
Counselor (Addiction (Substance Use Disorder))
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 383-1152

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 Optumcare Endoscopy Center New Mexico, LLC's NPI number?

The NPI number for Optumcare Endoscopy Center New Mexico, LLC is 1962685834. It was assigned to this organization in the NPPES registry on December 13, 2007. The provider is doing business as Davita Medical Endoscopy.

Where is Optumcare Endoscopy Center New Mexico, LLC located?

Optumcare Endoscopy Center New Mexico, LLC is located at 5400 Gibson Blvd SE Floor 2; Elevator C, Albuquerque, NM 87108. The listed phone number is (505) 262-7174.

What is Optumcare Endoscopy Center New Mexico, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Optumcare Endoscopy Center New Mexico, LLC was last updated on February 12, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.