CLINICA SAN FERNANDO – Clinic/Center, NPI 1821317843

CLINICA SAN FERNANDO is a healthcare provider. based in Pharr, Texas. specializing in Clinic/Center. The organization holds a License No. PA03948 (TX). The NPI Number for CLINICA SAN FERNANDO is 1821317843

Main info

Organization
Name
CLINICA SAN FERNANDO
NPI
1821317843
Phone
(956) 502-5513
Address
3908 N JACKSON RD
Authorized Official
MR. NELSON LOGGIODICE PRESIDENT PHYSICIAN ASSISTANT
Enumeration Date
1 June 2010
Last Update Date
2 October 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness80
Years active:16State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for CLINICA SAN FERNANDO

  • 3908 N JACKSON RD

    PHARR, TX 785777768

    Phone: (956) 502-5513

    Fax: (956) 502-5514

    Type: Mailing

  • 3908 N. JACKSON RD

    PHARR, TX 78577

    Phone: (956) 502-5513

    Fax: (956) 502-5514

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-12-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (893 days ago).

Enrollment records

1

Earliest due date

2023-12-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20101203000483OClinic/Group PracticeTX2023-12-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78577)

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Reviews

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Frequently asked questions

How do I look up CLINICA SAN FERNANDO by NPI?
Use NPI 1821317843 when you need to reference CLINICA SAN FERNANDO in forms, claims, or directories.
Is CLINICA SAN FERNANDO active in the national directory?
CLINICA SAN FERNANDO's public NPI profile is in an active state.
What field does CLINICA SAN FERNANDO work in?
You can think of CLINICA SAN FERNANDO as practicing within Clinic/Center. Clinical services aligned with this taxonomy classification.
Does CLINICA SAN FERNANDO practice in Texas?
You will see Pharr, Texas on file for CLINICA SAN FERNANDO alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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