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SAN MARTIN DE PORRES CLINIC
NPI 1710048756
Internal Medicine in Palmview, TX

Active since December 13, 2006CLIA 45D1039555 · Accreditation
1337 E PALMA VISTA DR STE A, PALMVIEW, TX 78572(956) 519-9500(956) 519-4549 Get Directions Write a Review

NPPES record last updated: October 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About San Martin De Porres Clinic NPPES

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

SAN MARTIN DE PORRES CLINIC (NPI 1710048756) is a healthcare organization registered as an internal medicine in Palmview, Texas and active in the NPI registry since December 2006. The organization holds an CLIA Accreditation certificate valid through October 5, 2027 and lists Jhonny Martin Bazan, Owner Md/ Provider/ President, as its authorized official.

NPPES Registry Identity

NPI1710048756
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameJHONNY MARTIN BAZAN MD PA
Location Address1337 E PALMA VISTA DR STE APalmview, TX 78572-2055
Mailing Address1337 E Palma Vista Dr Ste APalmview, TX 78572-2055 · (956) 519-9500 · Fax (956) 514-9414
Phone(956) 519-9500
Fax(956) 519-4549
Organization SubpartNo
Authorized OfficialJhonny Martin BazanOwner Md/ Provider/ President · (956) 519-9500
Enumeration DateDecember 13, 2006
Last NPPES UpdateOctober 19, 2024
NPPES CertifiedOctober 19, 2024
✔ NPI 1710048756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License K1355 (TX)
Also ListedGeneral PracticeTaxonomy 208D00000X · License K1355 (TX)
1337 E PALMA VISTA DR STE A, Palmview, TX 78572
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Other Names 1

Doing Business AsSan Martin De Porres Clinic

Other Identifiers 6

Medicaid041729705TX
Medicaid041729703TX
Medicaid173560701TX
Other220041063TX · Case Management
Other0066NLTX · Blue Cross Blue Shield
Other1912169459TX · Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 Accreditation 45D1039555

San Martin De Porres Clinic · Mission, TX
Active · expires Oct 5, 2027
CLIA Number45D1039555
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorJhonny Bazan
Laboratory Phone(956) 519-9500
Laboratory LocationSan Martin De Porres Clinic1337 E Palmavista Drive, Suite A, Mission, TX 78572
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

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

JHONNY MARTIN BAZAN MD
Internal Medicine
1337 E PALMA VISTA DR STE A
PALMVIEW, TX 78572
Hidalgo County (956) 519-9500

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 Jhonny Martin Bazan MD PA's NPI number?

The NPI number for Jhonny Martin Bazan MD PA is 1710048756. It was assigned to this organization in the NPPES registry on December 13, 2006. The provider is doing business as San Martin De Porres Clinic.

Where is Jhonny Martin Bazan MD PA located?

Jhonny Martin Bazan MD PA is located at 1337 E Palma Vista Dr Ste A, Palmview, TX 78572. The listed phone number is (956) 519-9500.

What is Jhonny Martin Bazan MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Jhonny Martin Bazan MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 45D1039555) is associated with this NPI, valid through October 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jhonny Martin Bazan MD PA accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Jhonny Martin Bazan MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jhonny Martin Bazan MD PA was last updated on October 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.