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

Roberto C. Pardo, AGPNP

Individual provider Nurse Practitioner · NPI 1922482108

Roberto C. Pardo, AGPNP is a Nurse Practitioner in Los Alamos, New Mexico. Qualified in 2014, 12 years ago. Practices with Montage Medical Group, a 124-clinician group. Licensed in New Mexico.

Years since qualifying
12
Licensed in
NM
In the registry since
2015

Practice location Address checks out

3917 W Rd Ste A
Los Alamos, NM 87544-2292
Phone: (505) 661-8900
Fax: (505) 661-8916
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence CNP-03510 (NM)

Record details

NPI number1922482108
Entity typeIndividual (Type 1)
GenderMale
Credentials AGPNP
Sole proprietorNo
NPI enumeratedJuly 16, 2015
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025
Mailing address100 Wilson Rd Ste 100, Monterey, CA 93940-7885

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Montage Medical Group — 124 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Los Alamos