Provider Information
Last Updated : Mar 27 2026 11:06 AM
Luis G Bautista
City Fresno |
Group LASALLE - OMNI FAMILY HEALTH MERCED ST |
Specialty Family Practice |
Last Name Bautista |
First Name Luis |
Middle Name G |
Address 2505 Merced St |
State CA |
Zip Code 93721 |
Phone (866)707-6664 |
Hours Mon - Fri 8:00 AM - 5:00 PM |
Gender M |
Title M.D. |
Language 1 Spanish |
Extender 1 Last Name Tripp |
Extender 1 First Name Elton |
Extender 1 Middle Name R |
Extender 1 License Type P.A. |
Extender 2 Last Name Brown |
Extender 2 First Name Angela |
Extender 2 Middle Name R |
Extender 2 License Type NP |
Extender 3 Last Name Castro |
Extender 3 First Name Miguel |
Extender 3 Middle Name K |
Extender 3 License Type P.A. |
Extender 4 Last Name Reynaga |
Extender 4 First Name Rocio |
Extender 4 License Type NP |
Section Number 1 |
County FRESNO |
Accepting New Patient Yes |
PPG NAME LASALLE MEDICAL ASSOCIATES |
Clinic Service Type FQHC |
PPG ID MFRH6 |
NPI Number 1295712206 |
License ID A097270 |
Board Certified No |
Office Language Spanish |
Alternative Last Name BAUTISTA |
Alternative First Name LUIS |
PHY CCT IND N |
Telemedicine Indicator TM AND IN PERSON |
