| NPI | 1134119308 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-10-27 |
| Last Updated | 2016-05-24 |
| Mailing Address | 7281 W Menlo Ave Fresno, CA 93723-9349 United States Phone: (559) 271-7292 📍 View Map |
| Primary Practice Address | 2570 Jensen Ave Ste 106 Sanger, CA 93657-2269 United States Phone: (559) 875-3428 | Fax: (559) 875-3434 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | CA | DC260Z | MEDICARE PTAN / PALMETTO (BRMC) |
| MEDICAID | CA | RHM53933F | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207R00000X – Internal Medicine | CA | A432930 |
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About NPI 1134119308
Jose Luis Bautista M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1134119308. The primary specialty listed is Internal Medicine. The provider is located in Sanger, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-10-27. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1134119308?
NPI 1134119308 belongs to Jose Luis Bautista M.D., a Internal Medicine in Sanger, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1134119308 active?
The current status of NPI 1134119308 in the NPPES registry is Active. The record was last updated on 2016-05-24.
What specialty is NPI 1134119308?
NPI 1134119308 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1134119308?
You can verify NPI 1134119308 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1134119308?
The primary practice address on file for NPI 1134119308 is 2570 Jensen Ave Ste 106, Sanger, CA 93657-2269. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1134119308 issued?
NPI 1134119308 was first issued (enumerated) on 2005-10-27. The NPPES record was last updated on 2016-05-24.
Practice Location Map
Jose Luis Bautista is located at 2570 Jensen Ave Ste 106, Sanger, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Jose Luis Bautista. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1134119308. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine | A432930 | CA |