Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Omni Medical Group LLC

Organization Sports Medicine (Neuromusculoskeletal Medicine) Physician · NPI 1568768042

Omni Medical Group LLC is a Sports Medicine (Neuromusculoskeletal Medicine) Physician in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2011.

Licensed in
NM
In the registry since
2011
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4201 Central Ave NW K3
Albuquerque, NM 87105-1630
Phone: (505) 717-1685
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician Taxonomy 204C00000X · Licence 6556 (NM)
Family Medicine Physician Taxonomy 207Q00000X
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA20030032 (NM)

Record details

NPI number1568768042
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Olena Dziuba — Cfo · (505) 573-2495
Other names Clinica La Esperanza
NPI enumeratedFebruary 1, 2011
Last updated in NPPESJanuary 19, 2015
Mailing address4201 Central Ave Nw, Ste K3, Albuquerque, NM 87105-1630

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