Provider Information
Last Updated : Dec 4 2025 11:06 AM
Jose L Bautista
City Fresno |
Group LASALLE - OMNI FAMILY HEALTH MERCED ST |
Specialty Internal Medicine |
Last Name Bautista |
First Name Jose |
Middle Name L |
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 English |
Language 2 Spanish |
Certification CHDP |
Extender 1 Last Name Brown |
Extender 1 First Name Angela |
Extender 1 Middle Name R |
Extender 1 License Type NP |
Extender 2 Last Name Santoyo |
Extender 2 First Name Shelly |
Extender 2 Middle Name T |
Extender 2 License Type P.A. |
Extender 3 Last Name Mercado |
Extender 3 First Name Edgar |
Extender 3 License Type P.A. |
Extender 4 Last Name Morales |
Extender 4 First Name Samuel |
Extender 4 License Type P.A. |
Section Number 1 |
County FRESNO |
Accepting New Patient No |
PPG NAME LASALLE MEDICAL ASSOCIATES |
Clinic Service Type FQHC |
PPG ID MFRH6 |
NPI Number 1134119308 |
License ID A043293 |
Board Certified No |
Office Language Spanish |
PHY CCT IND N |