Provider Information

Last Updated : Jul 26 2024 11:08 AM

Luis G Bautista




City
Fresno
Group
SANTE 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
Shelly
Extender 1 First Name
Santoyo
Extender 1 Middle Name
T
Extender 1 License Type
P.A.
Extender 2 Last Name
Castro
Extender 2 First Name
Miguel
Extender 2 Middle Name
A
Extender 2 License Type
P.A.
Extender 3 Last Name
Zarazua
Extender 3 First Name
Luis
Extender 3 License Type
NP
Extender 4 Last Name
Morales
Extender 4 First Name
Samuel
Extender 4 License Type
P.A.
Section Number
1
County
FRESNO
Accepting New Patient
Yes
PPG NAME
SANTE PHYSICIANS FFS
Clinic Service Type
FQHC
PPG ID
MFRL1
NPI Number
1295712206
Access Requirement
Basic
PARKING_IND
P
EXT_BUILD_IND
EB
INT_BUILD_IND
IB
RESTROOM_IND
R
EXAMROOM_IND
E
License ID
A097270
Board Certified
No
Office Language
Spanish
Self Access Flag
Facility Site Database
Alternative Last Name
BAUTISTA
Alternative First Name
LUIS
Afterhour Phone
(866) 707-6664
PHY CCT IND
N

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