Bautista Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BAUTISTA MEDICAL GROUP INC

Practice address

5339 E Kings Canyon Rd
Fresno, CA 93727-4527

Phone

(559) 252-7301

Fax

(559) 252-1419

NPI assigned

Feb 25, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Juan G Bautista, MD

Title

Ceo

Phone

(559) 252-7301

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.

• Jose Luis Bautista, M.D.

  • Internal Medicine Physician
  • Sanger, CA
  • NPI 1134119308
  NPD (past)

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1497147664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5339 E KINGS CANYON RD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937274527",
            "telephone_number": "559-252-7301",
            "fax_number": "559-252-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5339 E KINGS CANYON RD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937274527",
            "telephone_number": "559-252-7301",
            "fax_number": "559-252-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAUTISTA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-252-7301",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Jane Bauer
• Aquina Lajewel Baulkman
• Stacie A Baum
• Sandra L Bausman, PT, WCS
• Bautista Medical Group (Bautista Research Medical Clinic)
• Francisca Bautista Salazar
• Amylene Bautista
• Apple Cayanga Bautista
• Arlene Bautista, RN, BSN
• Catalina Bautista, PA

• Family Medicine Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.