Sespe Medical, Inc.

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

SESPE MEDICAL, INC.

Practice address

552 Sespe Ave
Fillmore, CA 93015

Phone

(805) 524-2559

Fax

(805) 524-2596

NPI assigned

Dec 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jose Luis Bautista, M.D.

Title

Medical Director

Phone

(559) 271-7292

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jorge O Bautista, PA

  • Physician Assistant
  • Fillmore, CA
  • NPI 1336254705
  NPD

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

{
    "created_epoch": "1229990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1336385244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 SESPE AVE",
            "city": "FILLMORE",
            "state": "CA",
            "postal_code": "93015",
            "telephone_number": "805-524-2559",
            "fax_number": "805-524-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 SESPE AVE",
            "city": "FILLMORE",
            "state": "CA",
            "postal_code": "93015",
            "telephone_number": "805-524-2559",
            "fax_number": "805-524-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SESPE MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-23",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "559-271-7292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lorena Soledad Sebastian
• Oswaldo N/a Servin, PTA
• Jessica Siegel, LEP
• Lisa Solinas, M.D.
• Wendy Steiger, CNM/NP
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• Priya Kaur Swatch

• Rural Health Clinic/Center in Fillmore, CA
• Providers in Fillmore, CA by specialty
• Rural Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.