| Bautista Health Care, Inc. | |
| 
					2570 Jensen Ave Ste 106 Sanger CA 93657-2269  | |
| (559) 875-3428 | |
| (559) 875-3434 | 
| Full Name | Bautista Health Care, Inc. | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 2570 Jensen Ave Ste 106, Sanger, California | 
| Authorized Official Name and Position | Diego Bautista (CEO) | 
| Authorized Official Contact | 5598250543 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Bautista Health Care, Inc. 2570 Jensen Ave Ste 106 Sanger CA 93657-2269 Ph: (559) 875-3428  | Bautista Health Care, Inc. 2570 Jensen Ave Ste 106 Sanger CA 93657-2269 Ph: (559) 875-3428  | 
| NPI Number | 1528642741 | 
|---|---|
| Provider Enumeration Date | 05/12/2021 | 
| Last Update Date | 04/14/2022 | 
| Medicare PECOS PAC ID | 6507259611 | 
|---|---|
| Medicare Enrollment ID | O20220425000682 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1528642741 | NPI | - | NPPES | 
| 4548713 | Other | CA | ARTICLES OF INCORPORATION | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary | 
| Provider Name | Jose L Bautista | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1134119308 PECOS PAC ID: 8022928233 Enrollment ID: I20080117000544  | 
| Provider Name | Luis Bautista | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1295712206 PECOS PAC ID: 2668505785 Enrollment ID: I20100727000116  | 
Reedley Community Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1939 Academy Ave, Sanger, CA 93657 Phone: 559-875-6900 Fax: 559-875-6011  | |
United Health Centers Of The San Joaquin Valley Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2502 Jensen Ave, Sanger, CA 93657 Phone: 559-875-6000 Fax: 559-875-6016  | |
United Health Centers Of The San Joaquin Valley Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2502 Jensen Ave, Sanger, CA 93657 Phone: 559-875-6000 Fax: 559-875-6016  | |
Swarnpal S. Sekhon Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 N St, Sanger, CA 93657 Phone: 559-875-5545  | |
United Health Centers Of The San Joaquin Valley Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2502 Jensen Ave, Sanger, CA 93657 Phone: 559-875-6000 Fax: 559-875-6016  | |
United Health Centers Of The San Joaquin Valley Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2502 Jensen Ave, Sanger, CA 93657 Phone: 559-875-6000 Fax: 559-875-6016  |