SAN MARTIN DE PORRES CLINIC
NPI 1710048756
Internal Medicine in Palmview, TX
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
Specialties & Licenses 3
Other Names 1
Other Identifiers 6
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
San Martin De Porres Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to San Martin De Porres Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, TXFrequently 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.
Is Jhonny Martin Bazan MD PA enrolled in Medicare?
Yes. Jhonny Martin Bazan MD PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jhonny Martin Bazan MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Jhonny Martin Bazan MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 2 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.
# San Martin De Porres Clinic · NPI 1710048756
Internal Medicine organization in Palmview, Texas. Organization record, active in the CMS NPPES registry since December 13, 2006.
## Identity
- **NPI:** 1710048756 (Entity type: Organization)
- **Enumerated:** December 13, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Jhonny Martin Bazan Md Pa
- **Organization subpart:** No
- **Authorized official:** Jhonny Bazan, OWNER MD/ PROVIDER/ PRESIDENT
## Practice location
- **Address:** 1337 E PALMA VISTA DR STE A, Palmview, TX 78572-2055
- **Phone:** (956) 519-9500 · **Fax:** (956) 519-4549
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 19, 2024
- **Other identifiers:** Medicaid 041729705 (TX); Medicaid 041729703 (TX); Medicaid 173560701 (TX); and 3 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1710048756) · Data from the CMS NPPES public registry.