SAN MARCOS MEDICAL GROUP INC.
NPI 1447396593
Clinical Medical Laboratory in San Bernardino, CA

Active since January 29, 2007CLIA Certified · 2 labs
1574 W BASE LINE ST STE 107, SAN BERNARDINO, CA 92411(909) 386-1880(909) 386-1882 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About San Marcos Medical Group Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN MARCOS MEDICAL GROUP INC. (NPI 1447396593) is a healthcare organization registered as a clinical medical laboratory in San Bernardino, California and active in the NPI registry since January 2007. The organization holds 2 active CLIA laboratory certificates and lists Azer Rezk, Administrater, as its authorized official.

NPPES Registry Identity

NPI1447396593
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameSAN MARCOS MEDICAL GROUP INC.
Location Address1574 W BASE LINE ST STE 107San Bernardino, CA 92411-1736
Mailing Address1574 W Base Line St Ste 107San Bernardino, CA 92411-1736 · (909) 386-1880 · Fax (909) 386-1882
Fax(909) 386-1882
Organization SubpartNo
Authorized OfficialAzer RezkAdministrater · (909) 376-7715
Enumeration DateJanuary 29, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1447396593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in CA · LAB 69268F
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
1574 W BASE LINE ST STE 107, San Bernardino, CA 92411

Other Identifiers 1

MedicaidLAB69268FCA

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0965030

San Marcos Medical Group, Inc · San Bernardino, CA
Active · expires Sep 7, 2027
CLIA Number05D0965030
Laboratory TypePhysician Office
Certificate Effective DateSeptember 8, 2025
Certificate Expiration DateSeptember 7, 2027
Laboratory DirectorBalbir K. Natt MD
Laboratory Phone(909) 386-1880
Laboratory LocationSan Marcos Medical Group, Inc7576 Sterling Ave #e-D, San Bernardino, CA 92410
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D0925867

San Marcos Medical Group Inc · San Bernardino, CA
Active · expires Mar 9, 2027
CLIA Number05D0925867
Laboratory TypeCommunity Clinic
Certificate Effective DateMarch 10, 2025
Certificate Expiration DateMarch 9, 2027
Laboratory DirectorNatt K. Balbir MD
Laboratory Phone(909) 386-1880
Laboratory LocationSan Marcos Medical Group Inc1574 West Baseline Avenue, Suite #107, San Bernardino, CA 92411
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Health Worker
1574 W BASE LINE ST STE 107
SAN BERNARDINO, CA 92411
Physician Assistant
1574 W BASE LINE ST STE 107
SAN BERNARDINO, CA 92411
Pediatrics
1574 W BASE LINE ST STE 107
SAN BERNARDINO, CA 92411

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is San Marcos Medical Group Inc.'s NPI number?

The NPI number for San Marcos Medical Group Inc. is 1447396593. It was assigned to this organization in the NPPES registry on January 29, 2007.

Where is San Marcos Medical Group Inc. located?

San Marcos Medical Group Inc. is located at 1574 W Base Line St Ste 107, San Bernardino, CA 92411. The listed phone number is (909) 386-1880.

What is San Marcos Medical Group Inc.'s specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does San Marcos Medical Group Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for San Marcos Medical Group Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.