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:
Authorized official contact:
Name: Bautista, Jose Luis Doctor of Medicine (MD)
Phone: (559) 445-0391
Health care specialties
Specialty | Code | License # | 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 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487634317 | NPPES |
California | Other | ZZZ3862Z | BLUE SHIELD |
California | Other | GR0063040 | BLUE SHIELD |
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