Active NPI
Pedro a Blandon MD PA
- Nephrology Physician
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- PEDRO A BLANDON MD PA
- Practice address
- 1250 E Cliff Dr Ste 3E
El Paso, TX 79902-4847 - Phone
- (915) 244-0598
- Fax
- (888) 299-2163
- NPI assigned
- Oct 3, 2017
- Last updated
- May 9, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Pedro Blandon, MD
- Title
- President
- Phone
- (915) 491-4807
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
1250 E Cliff Dr Ste 3E
El Paso, TX 79902-4847
Mailing address
1250 E Cliff Dr Ste 3E
El Paso, TX 79902-4847
Phone (915) 626-5548
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2317069 | Pedro a Blandon MD PA | Certificate of waiver | Jan 15, 2027 |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
dba Fresenius Kidney Care El Paso Transmountain
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- El Paso, TX
- NPI 1194229096
Member Of
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1275531469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683590400000",
"number": "1073023131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 E CLIFF DR STE 3E",
"city": "EL PASO",
"state": "TX",
"postal_code": "799024847",
"telephone_number": "915-626-5548",
"fax_number": "915-626-5411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 E CLIFF DR STE 3E",
"city": "EL PASO",
"state": "TX",
"postal_code": "799024847",
"telephone_number": "915-244-0598",
"fax_number": "888-299-2163"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDRO A BLANDON MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-03",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A",
"authorized_official_last_name": "BLANDON",
"authorized_official_first_name": "PEDRO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "915-491-4807",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.