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

Mathew Lujan, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1457197014

Mathew Lujan, PHYSICIANASSISTANT is a Physician Assistant in Farmington, New Mexico. Qualified in 2024, 2 years ago. Practices with Mesa Family Practice PC, a 5-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
2
Licensed in
NM
In the registry since
2024

Practice location Address checks out

2130 Farmington Ave
Farmington, NM 87401-2123
Phone: (505) 325-7172
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2024-0072 (NM)

Record details

NPI number1457197014
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJuly 3, 2024
Last updated in NPPESJuly 3, 2024
Certification dateJuly 3, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Mesa Family Practice Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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