Bautista Medical Group
NPI 1487634317ActiveOrganization· Family Medicine· Fresno, CA
Family Medicine in Fresno, California, registered in NPPES in January 2006. The authorized official on file is Jose Luis Bautista, MD, Medical Director.
Overview
| NPI | 1487634317 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 18, 2006 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Internal Medicine | 207R00000X | A43293 | CA |
| Pediatrics | 208000000X | A84959 | CA |
| General Practice | 208D00000X | A97270 | CA |
| Physician Assistant | 363A00000X | PA16817 | CA |
| Physician Assistant | 363A00000X | PA13143 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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