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

Loc Van DO, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1831628841

Loc Van DO, PHYSICIANASSISTANT is a Physician Assistant in Albuquerque, New Mexico. Qualified in 2017, 9 years ago. Practices with Hazel Hawkins Memorial Hospital, a 53-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2017
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Practice location Address checks out

505 Elm St NE
Albuquerque, NM 87102-2500
Phone: (505) 727-4700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1831628841
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJune 5, 2017
Last updated in NPPESJune 5, 2017
Mailing address10001 Coors Byp Nw Apt 313, Albuquerque, NM 87114-4142

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Hazel Hawkins Memorial Hospital — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Albuquerque