BAUTISTA RURAL MEDICAL CLINICS, INC. (NPI# 1689746208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689746208 |
Entity Type | Organization |
Organization Name | BAUTISTA RURAL MEDICAL CLINICS, INC. |
Practice Address |
2570 Jensen Ave Suite 106 Sanger CA 93657-2269 |
Practice Telephone | 5598753428 |
Practice Fax Number | 5598753434 |
Mailing Telephone | 5598753428 |
Mailing Fax Number | 5598753434 |
Enumeration Date | 2006-11-15 |
Last Update Date | 2010-10-05 |
Authorized Official Name | MRS. BLANCA E ESCOBAR (BILLING DIRECTOR) |
Authorized Official Telephone | 5598753428 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | PA 13143 | CA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363A00000X | Physician Assistant | PA21266 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 207R00000X | Internal Medicine | A432930 | CO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | RHM53933F | 05 | |
CA | MEDICARE PTAN / PALMETTO | BZ069A | 01 |
Street Address |
2570 JENSEN AVE SUITE 106 |
City | SANGER |
State | CA |
Zip Code | 93657-2269 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356322911 | Cristina Lopez | Physician Assistant | 2570 Jensen Ave, Suite 102, Sanger, CA 93657-2269 | 2005-11-10 |
1164985404 | Miguel Alejandro Castro | Physician Assistant | 2570 Jensen Ave, Sanger, CA 93657-2269 | 2019-04-12 |
1073823100 | Shelly Tina Santoyo | Physician Assistant | 2570 Jensen Ave, Suite 106, Sanger, CA 93657-2269 | 2010-10-07 |
1770736712 | Dr. Soghomonian's Medical Clinic, Inc. | Clinic/Center | 2570 Jensen Ave, Suite #117, Sanger, CA 93657-2269 | 2008-11-03 |
1275734550 | Rolando Witrado IIi | Physical Therapist | 2570 Jensen Ave, Suite #108, Sanger, CA 93657-2269 | 2007-05-31 |
1770798191 | Tejinder S Sandhu M D Inc | Obstetrics & Gynecology | 2570 Jensen Ave, Suite 103, Sanger, CA 93657-2269 | 2007-05-11 |
1093820748 | Conrad Theodore Seitz | Family Medicine | 2570 Jensen Ave, Suite 106, Sanger, CA 93657-2269 | 2006-08-21 |
1295712206 | Luis Guerrero Bautista | Family Medicine | 2570 Jensen Ave, Sanger, CA 93657-2269 | 2005-12-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568871853 | Bernardo Bretado | Counselor | 2017 Mary Street, Sanger, CA 93657 | 2014-08-12 |
1902238033 | Robin Christine Ploharz | Counselor | 1822 Jensen Ave #102-104, Sanger, CA 93657 | 2013-07-31 |
1629419833 | Elim Place, Inc. | Assisted Living Facility | 1808 5th Street, Sanger, CA 93657 | 2013-07-16 |
1568716793 | Paul Sylvan Cheney | Dentist | 620 S. Fairbanks Ave., Sanger, CA 93657 | 2012-11-09 |
1336409820 | Jocelyn Ann Mizunaka | Family Medicine | 1570 7th Street, Sanger, CA 93657 | 2012-05-18 |
1912216581 | Sampath Wijesinghe | Physician Assistant | 1393 Academy Ave, Sanger, CA 93657 | 2010-09-30 |
1528144185 | Daniel Richard Souza | Physical Therapist | 2570 Jensen A Ve #108, Sanger, CA 93657 | 2006-10-27 |
1023102654 | Herbert Lance Crooks | Dentist | 2434 Jensen, Sanger, CA 93657 | 2006-10-03 |
1689633174 | Donald T Negri Od Inc | Optometrist | 1329 8th St, Sanger, CA 93657 | 2006-03-22 |
1265400410 | Gurinder Pal Singh Narain | Internal Medicine | 800 N Street, Sanger, CA 93657 | 2006-03-14 |
Find all providers in zip 93657 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265400410 | Gurinder Pal Singh Narain | Internal Medicine | 800 N Street, Sanger, CA 93657 | 2006-03-14 |
1134119308 | Jose Luis Bautista | Internal Medicine | 2570 Jensen Ave Ste 106, Sanger, CA 93657-2269 | 2005-10-27 |
1508480765 | Olive Branch Recovery LLC | Internal Medicine | 1640 W Chapman Dr, Sanger, TX 76266-9006 | 2020-06-03 |
1467834812 | Nancy Gutierrez Rivera | Internal Medicine | 1939 Academy Ave, Sanger, CA 93657 | 2015-06-22 |
1467610923 | Swarnpal S. Sekhon Md | Internal Medicine | 800 N St, Sanger, CA 93657-3116 | 2008-05-30 |
1083749204 | Tarlochan Singh Tagore | Internal Medicine | 1822 Jensen Ave, Sanger, CA 93657 | 2007-02-21 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.