Robert Bazaco Jr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

W4755 Issued in TX

Practice address

3846 Medical Dr Ste 100
San Antonio, TX 78229-2462

Phone

(210) 450-6470

NPI assigned

Nov 15, 2011

Last updated

Apr 27, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AZ, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family PracticeAlso: Geriatric Medicine

Education

New York Medical College, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Western Arizona Regional Medical Center Hospital, Bullhead City, AZ, CCN 030101
• Valley View Medical Center Hospital, Fort Mohave, AZ, CCN 030117

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prescott Healthcare Solutions LLC

  dba Optima Medical

  • Family Medicine Physician
  • Prescott, AZ
  • NPI 1821454505
  Medicare reassignment Care Compare group NPD
• University of Texas Health Science Center at San Antonio

  dba UT Health Physicians

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1720051717
  Medicare reassignment
• Bullhead Primary Care, LLC

  dba Bullhead Primary Care

  • General Practice Physician
  • Bullhead City, AZ
  • NPI 1346944022
  NPD
• Sundance Medical Associates PLLC

  • Family Medicine Physician
  • Gilbert, AZ
  • NPI 1942481718
  NPD (past)
• Valley View Physician Practices LLC

  dba Orthopedic Institute of Arizona

  • Orthopaedic Surgery Physician
  • Fort Mohave, AZ
  • NPI 1033359583
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bullhead City Hospital Corporation

  dba Western Arizona Regional Medical Center

  • General Acute Care Hospital
  • Bullhead City, AZ
  • NPI 1255302766
  Care Compare affiliation
• Bullhead City Hospital Corporation

  dba Fox Creek Urgent Care

  • Urgent Care Clinic/Center
  • Bullhead City, AZ
  • NPI 1780996223

  Hospital

  Care Compare affiliation
• PHC-Fort Mohave Inc

  dba Valley View Medical Center

  • General Acute Care Hospital
  • Fort Mohave, AZ
  • NPI 1811086994
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1487931770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 LOWER LACOSTE RD",
            "city": "CASTROVILLE",
            "state": "TX",
            "postal_code": "780095232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3846 MEDICAL DR STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292462",
            "telephone_number": "210-450-6470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Canyon Rd Ste A1",
            "address_purpose": "LOCATION",
            "city": "Bullhead City",
            "state": "AZ",
            "postal_code": "864428492",
            "country_code": "US",
            "telephone_number": "928-704-4499",
            "fax_number": "928-704-4949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 Highway 95 Ste 50",
            "address_purpose": "LOCATION",
            "city": "Bullhead City",
            "state": "AZ",
            "postal_code": "864427313",
            "country_code": "US",
            "telephone_number": "928-444-8405",
            "fax_number": "928-299-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAZACO",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-15",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "W4755",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "48283",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "48283",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "879064",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3120998",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7387955",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judy Bays
• P. Christopher Bays, D.D.S.
• Breanna Chantell Baytops, RBT
• Bayview Health and Wellness, PLLC
• Monica Baza
• Oralia Bazaldua, PHARM.D.
• Carlos Bazan III, M.D.
• Charleen Monique Bazan
• Estefania Marie Bazan, MD
• Joseph Anthony Bazan

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.