Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bautista Medical Group

Organization Family Medicine Physician · NPI 1487634317

Bautista Medical Group provides Family Medicine Physician services in Fresno, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
6
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Practice location Address checks out

2505 Merced St
Fresno, CA 93721-1811
Phone: (559) 445-0391
Fax: (559) 445-0316
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Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X · Licence A43293 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence A84959 (CA)
General Practice Physician Taxonomy 208D00000X · Licence A97270 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA16817 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA13143 (CA)

Record details

NPI number1487634317
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jose Bautista — Medical Director · (559) 445-0391
Other names Bautista Research Medical Clinic
NPI enumeratedJanuary 18, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address2505 Merced St, Fresno, CA 93721-1811

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