Individual provider Active NPI

Luis Guerrero Bautista, MD

  • Family Medicine Physician
  • Fresno, CA
National Provider Identifier
1295712206
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A97270 Issued in CA
Practice address
1350 O St Ste 304
Fresno, CA 93721-1828
Phone
(559) 369-4625
NPI assigned
Dec 30, 2005
Last updated
Oct 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A97270 CA Primary

Addresses

Primary practice location

1350 O St Ste 304
Fresno, CA 93721-1828

Mailing address

1350 O St Ste 304
Fresno, CA 93721-1828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 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

Enrollment IDStateProvider typePAC IDDetails
I20100727000116 CA Practitioner - Family PracticePractitioner - General Practice 2668505785 Reassigns benefits to 3 organizations
I20230223001249 OR Practitioner - Family Practice 2668505785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York Medical College, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Family HealthGroup PAC ID 9234176363, 93 clinicians

Practice addresses (Care Compare)

1530 E Manning Ave
Reedley, CA 93654-2346
Phone (866) 707-6664

355 Campus Dr
Suite E
Hanford, CA 93230-4376
Phone (866) 707-6664

925 G St
Reedley, CA 93654-2626
Phone (866) 707-6664

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A97270CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Family Health CurrentSince Aug 16, 2017 Accepting new patients
Bautista Health Care, Inc. CurrentSince Jan 6, 2022 Accepting new patients
Bautista Medical Group Southern California, Inc. Family Medicine CurrentSince Jan 5, 2015 Accepting new patients
Omni Family Health Current Accepting new patients
Omni Family Health CurrentSince Aug 16, 2017 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Saint Agnes Medical Center Past Accepting new patients
Omni Family Health Past Accepting new patients
United Health Centers of the San Joaquin Valley Past Accepting new patients
Omni Family Health Past Accepting new patients
Valley Children's Hospital Past Accepting new patients

Locations

277 E Front St
Buttonwillow, CA 93206
Phone (661) 630-7381

1110 W Visalia Rd
Ste 102
Exeter, CA 93221

427 Central Ave
Fillmore, CA 93015
Phone (805) 524-0777

1350 O St
Ste 202
Fresno, CA 93721
Phone (559) 369-4625

2505 Merced St
Fresno, CA 93721
Phone (559) 369-4625

3748 E Shields Ave
Fresno, CA 93726
Phone (559) 224-7272

4815 E Butler Ave
Ste A
Fresno, CA 93727

355 Campus Dr
Ste E
Hanford, CA 93230
Phone (559) 584-0668

860 Sequoia Ave
Lindsay, CA 93247

991 W 7th St
Oxnard, CA 93030
Phone (805) 483-7500

1530 E Manning Ave
Reedley, CA 93654
Phone (559) 558-9741

925 G St
Reedley, CA 93654
Phone (559) 558-9712

2570 Jensen Ave
Sanger, CA 93657
Phone (559) 875-3428

2570 Jensen Ave
Ste 105
Sanger, CA 93657
Phone (559) 399-8144

2570 Jensen Ave
Ste 106
Sanger, CA 93657
Phone (559) 875-3428

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: luis.bautista.p1@direct.omnifamilyhealth.nextgenshare.com
  • Direct secure messaging: luisbautista.223.5922@securemailmdscloud.mdsynergy.com
  • Direct secure messaging: luisguerrerobautista.200.5476@securemailmdscloud.mdsynergy.com

Organizations & group practices 12

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1295712206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 O ST STE 304",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 O ST STE 304",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211828",
            "telephone_number": "559-369-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "LUIS",
        "middle_name": "GUERRERO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A97270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.