BAUTISTA MEDICAL GROUP INC (NPI# 1497147664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497147664 |
| Entity Type | Organization |
| Organization Name | BAUTISTA MEDICAL GROUP INC |
| Practice Address |
5339 E Kings Canyon Rd Fresno CA 93727-4527 |
| Practice Telephone | 5592527301 |
| Practice Fax Number | 5592521419 |
| Mailing Telephone | 5592527301 |
| Mailing Fax Number | 5592521419 |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2015-02-25 |
| Authorized Official Name | MR. JUAN G BAUTISTA (CEO) |
| Authorized Official Telephone | 5592527301 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
5339 E KINGS CANYON RD |
| City | FRESNO |
| State | CA |
| Zip Code | 93727-4527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427524354 | Travis L Minor | Driver | 4573 Kings Canyon Rd, Freso, CA 93727 | 2018-10-18 |
| 1780178921 | Amanda Hernandez | Behavior Technician | 6358 E Mono St, Fresno, CA 93727 | 2018-06-20 |
| 1225533169 | Lindsay Fisher | Marriage & Family Therapist | 4928 E Clinton Way Ste 108, Fresno, CA 93727 | 2018-03-23 |
| 1811351992 | Paulinder Ranu | Pediatrics | 5557 E King Cyn Rd, Fresno, CA 93727 | 2016-04-05 |
| 1851781371 | Sheri Taylor | Social Worker | 2010 N Fine Ave # 105, Fresno, CA 93727 | 2015-02-04 |
| 1770917486 | Elouise Jones-green | Counselor | 4491 E. Mckinley Ave #112, Fresno, CA 93727 | 2013-08-29 |
| 1700227022 | Chee Vang | Counselor | 4855 E Kings Canyon Rd Ste 105, Fresno, CA 93727 | 2013-07-15 |
| 1578839791 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 5995 E Kings Canyon Rd, Fresno, CA 93727 | 2012-04-02 |
| 1932411378 | Leticia Ball | Marriage & Family Therapist | 4944 E. Clinton Way, Fresno, CA 93727 | 2010-07-13 |
| 1639308158 | Juanita Sermeno | Counselor | 4944 E. Clinton, Suite 101, Fresno, CA 93727 | 2009-07-06 |
| Find all providers in zip 93727 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516253 | Lindsay Jackson-tito | Family Medicine | 3066 E Tenaya Way, Fresno, CA 93710-5944 | 2020-07-22 |
| 1982223228 | California Surgical Medical Clinics Inc. | Family Medicine | 1050 E Perrin Ave Ste 103, Fresno, CA 93720-5032 | 2020-04-15 |
| 1851925192 | One On One Medical Care | Family Medicine | 5468 W Athens Ave, Fresno, CA 93722-2100 | 2020-02-25 |
| 1760021380 | Kawana Idali Chester | Family Medicine | 5765 N Fresno St Ste 105, Fresno, CA 93710-6092 | 2019-12-30 |
| 1356860332 | Molly Alreichan Bachir | Family Medicine | 9526 N Winery Ave, Fresno, CA 93720-4600 | 2017-09-11 |
| 1568991990 | Kevin Kaleka | Family Medicine | 1110 N Blackstone Ave, Fresno, CA 93701-1016 | 2017-06-08 |
| 1326495078 | Nirpaul Singh Bains | Family Medicine | 3875 W Beechwood Ave, Fresno, CA 93711-0795 | 2016-05-23 |
| 1548673239 | Cara Mcananey | Family Medicine | 290 N Wayte Ln Ste 1800, Fresno, CA 93701-2124 | 2014-06-10 |
| 1861805814 | John Ted Djabrayan | Family Medicine | 4711 W Ashlan Ave, Fresno, CA 93722-4307 | 2014-06-07 |
| 1790198299 | Antelope Valley Medical Group | Family Medicine | 357 E Balfour Ave, Fresno, CA 93720-0709 | 2014-06-03 |
| Find all providers in FRESNO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.