Bautista Research Medical Clinic

LBN: Bautista Medical Group
Bautista Research Medical Clinic is an health care organization with primary practice located at 2505 Merced St , Fresno CA 93721-1811. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Bautista Medical Group can be contacted via phone (559) 445-0391, or through Bautista, Jose Luis via phone (559) 445-0391.

Contact Information

Primary practice address
2505 Merced St Fresno CA 93721-1811
Phone: (559) 445-0391
Fax: (559) 445-0316
Website:
Map and Directions
Authorized official contact:
Name: Bautista, Jose Luis Doctor of Medicine (MD)
Phone: (559) 445-0391

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A43293 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A84959 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X A97270 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA16817 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA13143 California

Profile Details

NPI number 1487634317
LBN Legal business name Bautista Medical Group
DBA Doing business as Bautista Research Medical Clinic
Authorized official Bautista, Jose Luis Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487634317 NPPES
California Other ZZZ3862Z BLUE SHIELD
California Other GR0063040 BLUE SHIELD

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