Active NPI
Firstchoice Medical Group, Inc.
- Exclusive Provider Organization
- Fresno, CA
National Provider Identifier
1558773085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- Legal business name
- FIRSTCHOICE MEDICAL GROUP, INC.
- Practice address
- 1350 O St
Suite 301
Fresno, CA 93721-1828 - Phone
- (559) 500-2002
- NPI assigned
- Jun 2, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jose Luis Bautista, M.D.
- Title
- President
- Phone
- (559) 445-0391
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | Primary |
Addresses
Primary practice location
1350 O St
Suite 301
Fresno, CA 93721-1828
Mailing address
1350 O St
Suite 301
Fresno, CA 93721-1828
Phone (559) 500-2002
National Provider Directory
National Provider DirectoryLocations
1350 O St
Ste 301
Fresno, CA 93721
Phone (559) 289-1016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401667200000",
"number": "1558773085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 O ST",
"address_2": "SUITE 301",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211828",
"telephone_number": "559-500-2002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 O ST",
"address_2": "SUITE 301",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211828",
"telephone_number": "559-500-2002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRSTCHOICE MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-02",
"last_updated": "2014-06-02",
"status": "A",
"authorized_official_last_name": "BAUTISTA",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "LUIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "559-445-0391",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- First Steps Addiction Counseling and Psychiatry PC
- First Track LLC
- Firstsight Vision Services, Inc.
- Firstsight Vision Services, Inc.
- Firstsigt Vision Services, Inc.
- Barton Bradfield Fischer, M.D.
- Christi Michelle Fischer
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.