MEDICARE: JADE RESTO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1386274447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JADE RESTO

Provider Business Mailing Address
First Line	:	1500 N RENAISSANCE BLVD NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87107-7002
Country	:	US
Telephone Number	:	505-266-5565
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 N RENAISSANCE BLVD NE # S
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87107-7002
Country	:	US
Telephone Number	:	505-266-5565
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2020
Last Update Date	:	12/11/2020

Similar Medicare Providers

1215525902 — AUGUST VOJDANI PA-C
Practice Location Address:

4588 PARADISE BLVD NW , MEDICARE ADVANTAGE CLINIC
ALBUQUERQUE, NM
87114-4105

Practice Phone: 505-998-1840
Practice Fax: 505-998-1841

1528912979 — EMMA GENEVA HUNT
Practice Location Address:

1500 N RENAISSANCE BLVD NE
ALBUQUERQUE, NM
87107-7002

Practice Phone: 505-356-7650
Practice Fax:

1780533182 — MRS. TABATHA LEE YOUNG
Practice Location Address:

1500 N RENAISSANCE BLVD NE
ALBUQUERQUE, NM
87107-7002

Practice Phone: 505-356-7650
Practice Fax:

1396375531 — DILLON JAY REIDER
Practice Location Address:

1500 N RENAISSANCE BLVD NE STE C
ALBUQUERQUE, NM
87107-7002

Practice Phone: 505-266-5565
Practice Fax:

1477183242 — ANEEKA AKHTAR PA-C
Practice Location Address:

1500 N RENAISSANCE BLVD NE STE C
ALBUQUERQUE, NM
87107-7002

Practice Phone: 505-266-5565
Practice Fax:

1134728983 — BIRTI KAUR SINGH
Practice Location Address:

1500 N RENAISSANCE BLVD NE STE C
ALBUQUERQUE, NM
87107-7002

Practice Phone: 505-266-5565
Practice Fax:

Directions to “ JADE RESTO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.