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Sandia Plastic Surgery, PC

Sandia Plastic Surgery, PC is a healthcare organization registered as Plastic Surgery Physician in Albuquerque, NM, holding Type 2 (organization) NPI 1407171408 since 2010. The authorized official on file is Jennifer Chan, Owner/Sole Member.

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NPI 1407171408
Entity type Organization (Type 2)
Legal business name Sandia Plastic Surgery, PC
Practice address 801 ENCINO PLACE NE, SUITE D7, Albuquerque, NM, 87102
Phone 5058420066
Fax 5058429325
Enumeration date 2010-04-01
Last updated in NPPES 2015-04-15

Authorized official

Name Jennifer Chan
Title Owner/Sole Member
Phone 5058420066

Taxonomy & classification

Taxonomy code Specialty Primary License State
208200000X Plastic Surgery Physician Primary MD2007-0451 NM
Copy-ready billing details
Provider: Sandia Plastic Surgery, PC
NPI: 1407171408
Taxonomy: 208200000X (Plastic Surgery Physician)
Address: 801 ENCINO PLACE NE, SUITE D7, Albuquerque, NM, 87102

Providers at this address

NPI Name Type Specialty Location
1609065184 American Current Care P.A. Organization Clinic/Center Albuquerque, NM
1851752497 Dawn Bustamante Individual Family Nurse Practitioner Albuquerque, NM

Verify this record

Cross-check NPI 1407171408 against the authoritative CMS record: view Sandia Plastic Surgery, PC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What is the NPI number for Sandia Plastic Surgery, PC?
The NPI for Sandia Plastic Surgery, PC is 1407171408, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Sandia Plastic Surgery, PC?
NPPES lists Jennifer Chan (Owner/Sole Member) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-04-15.