Bautista Medical Group in Fresno - Physician Assistant
Bautista Medical Group - NPI 1487634317
Bautista Medical Group is a Physician Assistant in Fresno, California. Bautista Medical Group practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Bautista Medical Group is 1487634317. The last update date is 2020-08-22.
Bautista Medical Group's current location address is 2505 Merced St, Fresno, California. You can contact this provider via phone number 5594450391 and fax number 5594450316. The mailing address for Bautista Medical Group is 2505 Merced St, Fresno, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Bautista Medical Group |
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Address | 2505 Merced St, Fresno, California |
Phone Number | 5594450391 |
Fax Number | 5594450316 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MEDICAL DI |
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Authorized Official Name | Bautista Luis Jose |
Credentials | MD |
Telephone Number | 5594450391 |
NPI Number Detail
NPI Number | 1487634317 |
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Provider Enumeration Date | 2006-01-18 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 2505 Merced St |
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City | Fresno |
State | California (CA) |
Post Code | 937211811 |
Phone Number | 5594450391 |
Fax Number | 5594450316 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA16817 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
ZZZ3862Z | CA | BLUE SHIELD | |
GR0063040 | CA | MEDI-CAL |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Bautista Medical Group by the Centers for Medicare & Medicaid Services?
The Bautista Medical Group has been assigned the NPI (National Provider Identifier) 1487634317 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Bautista Medical Group located?
The Bautista Medical Group is located at 2505 Merced St, Fresno, CA 937211811.
What is Bautista Medical Group's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bautista Medical Group is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
When did Bautista Medical Group receive its 1487634317 assignment?
The Bautista Medical Group was assigned its 1487634317 on 2006-01-18, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Bautista Medical Group last refreshed?
The information related to the Bautista Medical Group, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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