Healthcare Provider Details

I. General information

NPI: 1396606166
Provider Name (Legal Business Name): DR SARAH JAPA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2025
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3254 NIZHONI DR
SANTA FE NM
87507-2555
US

IV. Provider business mailing address

3254 NIZHONI DR
SANTA FE NM
87507-2555
US

V. Phone/Fax

Practice location:
  • Phone: 505-670-3036
  • Fax:
Mailing address:
  • Phone: 505-670-3036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: JAPA K KHALSA
Title or Position: OWNER
Credential: DOM
Phone: 505-670-3036