La Clinica De Familia, Incorporated
NPI 1396718631 · Federally Qualified Health Center (FQHC) · La Mesa, NM
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
La Clinica De Familia, Incorporated is a Federally Qualified Health Center (FQHC) organization in La Mesa, NM (NPI 1396718631).
Provider details
- NPI number
- 1396718631
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Virgil Medina, Chief Executive Officer(575) 526-1105
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- La Clinica De Familia San Miguel
- Doing business as
- La Clinica De Familia San Miguel
Registry dates
- Enumerated
- 2006-02-08
- Last updated
- 2021-05-13
- Certified
- 2021-05-13
Frequently asked questions
- What is La Clinica De Familia, Incorporated's NPI number?
- La Clinica De Familia, Incorporated's National Provider Identifier (NPI) is 1396718631, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is La Clinica De Familia, Incorporated?
- La Clinica De Familia, Incorporated is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is La Clinica De Familia, Incorporated located?
- La Clinica De Familia, Incorporated's practice location on file with NPPES is 18420 S Highway 28, La Mesa, NM 88044-9605.
- What is La Clinica De Familia, Incorporated's phone number?
- The practice phone number listed in the NPPES registry for La Clinica De Familia, Incorporated is (575) 233-3830.
- Does La Clinica De Familia, Incorporated accept Medicare?
- La Clinica De Familia, Incorporated is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for La Clinica De Familia, Incorporated?
- The authorized official listed on La Clinica De Familia, Incorporated's NPPES record is Virgil Medina, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is La Clinica De Familia, Incorporated's NPI active?
- Yes — La Clinica De Familia, Incorporated's NPI (1396718631) is active in the NPPES registry as of the last update on 2021-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.