Luis G Bautista (NPI# 1295712206, PAC ID# 2668505785) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1295712206 |
| PAC ID by PECOS | 2668505785 |
| Professional Enrollment ID | I20100727000116 |
| Full Name | Luis G Bautista |
| Organization Legal Name | MOUNTAIN HEALTH AND COMMUNITY SERVICES, INC. |
| Address |
1620 Alpine Blvd Suite 110 Alpine CA 91901-1103 |
| Phone Number | 6194456200 |
| Gender | M |
| Medical School | NEW YORK MEDICAL COLLEGE |
| Graduation Year | 2005 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5395654396 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050060 | COMMUNITY REGIONAL MEDICAL CENTER |
| 050192 | ADVENTIST HEALTH REEDLEY |
| Address | Phone | Organization |
|---|---|---|
| 1620 Alpine Blvd, Suite 110, Alpine, CA 91901-1103 | 6194456200 | MOUNTAIN HEALTH AND COMMUNITY SERVICES, INC. |
| 255 N Ash St, Suite 101, Escondido, CA 92027-3069 | 6194456200 | MOUNTAIN HEALTH AND COMMUNITY SERVICES, INC. |
| Organization Legal Name | MOUNTAIN HEALTH AND COMMUNITY SERVICES, INC. |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Carl Winter | Clinical Psychologist | Mountain Health and Community Services, Inc. | 4690 El Cajon Blvd, San Diego, CA 92115-4403 |
| Christine Marie Barthe | Family Practice | Mountain Health and Community Services, Inc. | 1620 Alpine Boulebard, Suite 119, Alpine, CA 91901-1102 |
| Stephen John Croughan | General Practice | Mountain Health and Community Services, Inc. | 31115 Hwy 94, Campo, CA 91906-3133 |
| Jennifer K Fritz | Psychologist, Clinical | Mountain Health and Community Services, Inc. | 1620 Alpine Blvd, Suite 110, Alpine, CA 91901-1103 |
| Matthew O'banion Kelchner | Chiropractic | Mountain Health and Community Services, Inc. | 120 Town Ctr Pkwy, Santee, CA 92071-5801 |
| Manshi Valluri Mallepogu | Internal Medicine | Mountain Health and Community Services, Inc. | 120 Town Ctr Pkwy, Santee, CA 92071-5801 |
| Joyce Kellawon | Internal Medicine | Mountain Health and Community Services, Inc. | 1620 Alpine Blvd, Suite 110, Alpine, CA 91901-1103 |
| Michael A Nace | Nurse Practitioner | Mountain Health and Community Services, Inc. | 1620 Alpine Blvd, Suite 110, Alpine, CA 91901-1103 |
| Jerry Ayers | Addiction Medicine | Mountain Health and Community Services, Inc. | 31115 Hwy 94, Campo, CA 91906-3133 |
| Mikayla Sue Todd | Nurse Practitioner | Mountain Health and Community Services, Inc. | 1620 Alpine Boulebard, Suite 119, Alpine, CA 91901-1102 |
| Street Address |
1620 ALPINE BLVD SUITE 110 |
| City | ALPINE |
| State | CA |
| Zip | 91901-1103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer K Fritz | Psychologist, Clinical | Mountain Health and Community Services, Inc. | 1620 Alpine Blvd, Suite 110, Alpine, CA 91901-1103 |
| Joyce Kellawon | Internal Medicine | Mountain Health and Community Services, Inc. | 1620 Alpine Blvd, Suite 110, Alpine, CA 91901-1103 |
| Michael A Nace | Nurse Practitioner | Mountain Health and Community Services, Inc. | 1620 Alpine Blvd, Suite 110, Alpine, CA 91901-1103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christiana K Silva | Psychologist, Clinical | Sd Psychological Services Inc | 2271 Alpine Blvd, Suite A, Alpine, CA 91901-1101 |
| Bertram Barth | Clinical Social Worker | Sd Psychological Services Inc | 2271 Alpine Blvd, Suite A, Alpine, CA 91901-1101 |
| Suzanne Huxel Mihlon | Psychologist, Clinical | Sd Psychological Services Inc | 2271 Alpine Blvd, Suite A, Alpine, CA 91901-1101 |
| Christine Marie Barthe | Family Practice | Mountain Health and Community Services, Inc. | 1620 Alpine Boulebard, Suite 119, Alpine, CA 91901-1102 |
| Mikayla Sue Todd | Nurse Practitioner | Mountain Health and Community Services, Inc. | 1620 Alpine Boulebard, Suite 119, Alpine, CA 91901-1102 |
| Tobe M Propst | Family Medicine | Southern Indian Health Council Inc | 4058 Willows Rd, Southern Indian Health Council, Alpine, CA 91901-1668 |
| Nicole M Gullick | General Practice | Southern Indian Health Council Inc | 4058 Willows Rd, Alpine, CA 91901-1668 |
| Jill M Flores | Family Medicine | Southern Indian Health Council Inc | 4058 Willows Rd, Southern Indian Health Council, Alpine, CA 91901-1668 |
| Karen L Swenson | Family Medicine | Southern Indian Health Council Inc | 4058 Willows Rd, Southern Indian Health Council, Alpine, CA 91901-1668 |
| Arvin J Klein | Internal Medicine | 2120 Alpine Blvd, Alpine, CA 91901-2113 | |
| Find all physicians in zip 91901 | |||
| City | ALPINE |
| Zip Code | 91901 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ALPINE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Luis G Bautista.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.