JOSE B. BENIGNO MEDICAL CLINIC, P.A.
NPI 1750666095
Family Medicine in Odessa, TX

Active since October 19, 2011CLIA 45D0982629 · Waiver
115 W 42ND ST, ODESSA, TX 79764(432) 367-4817(432) 367-4813 Get Directions Write a Review

NPPES record last updated: October 19, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jose B. Benigno Medical Clinic, P.a. NPPES

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

JOSE B. BENIGNO MEDICAL CLINIC, P.A. (NPI 1750666095) is a healthcare organization registered as a family medicine in Odessa, Texas and active in the NPI registry since October 2011. The organization holds a CLIA Waiver certificate valid through June 24, 2027 and lists Jose Bato Benigno, Secretary/president, as its authorized official.

NPPES Registry Identity

NPI1750666095
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJOSE B. BENIGNO MEDICAL CLINIC, P.A.
Location Address115 W 42ND STOdessa, TX 79764-4001
Mailing Address115 W 42nd StOdessa, TX 79764-4001 · (432) 367-4817 · Fax (432) 367-4813
Fax(432) 367-4813
Organization SubpartNo
Authorized OfficialJose Bato BenignoSecretary/president · (432) 367-4817
Enumeration DateOctober 19, 2011
NPI 1750666095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · K9021
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
115 W 42ND ST, Odessa, TX 79764

Other Identifiers 3

Medicare UPINH27081TX
Medicaid171721701TX
Medicare PIN00210WTX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Waiver 45D0982629

Jose Benigno Medical Clinic · Odessa, TX
Active · expires Jun 24, 2027
CLIA Number45D0982629
Laboratory TypePhysician Office
Certificate Effective DateJune 25, 2025
Certificate Expiration DateJune 24, 2027
Laboratory DirectorJose Benigno MD
Laboratory Phone(432) 367-4817
Laboratory LocationJose Benigno Medical Clinic115 West 42nd Street, Odessa, TX 79764
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Primary Care)
115 W 42ND ST
ODESSA, TX 79764
General Practice
115 W 42ND ST
ODESSA, TX 79764

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 Jose B. Benigno Medical Clinic, P.A.'s NPI number?

The NPI number for Jose B. Benigno Medical Clinic, P.A. is 1750666095. It was assigned to this organization in the NPPES registry on October 19, 2011.

Where is Jose B. Benigno Medical Clinic, P.A. located?

Jose B. Benigno Medical Clinic, P.A. is located at 115 W 42nd St, Odessa, TX 79764. The listed phone number is (432) 367-4817.

What is Jose B. Benigno Medical Clinic, P.A.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Jose B. Benigno Medical Clinic, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0982629) is associated with this NPI, valid through June 24, 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 Jose B. Benigno Medical Clinic, P.A. was last updated on October 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.