Jorge O Bautista (NPI# 1336254705, PAC ID# 8224083423) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1336254705 |
PAC ID by PECOS | 8224083423 |
Professional Enrollment ID | I20080227000569 |
Full Name | Jorge O Bautista |
Organization Legal Name | BAUTISTA MEDICAL GROUP SO CA INC |
Address |
427 Central Ave Fillmore CA 93015-1329 |
Phone Number | 8055242559 |
Gender | M |
Graduation Year | 1998 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 6406801604 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | M |
Address | Phone | Organization |
---|---|---|
427 Central Ave, Fillmore, CA 93015-1329 | 8055242559 | BAUTISTA MEDICAL GROUP SO CA INC |
Organization Legal Name | BAUTISTA MEDICAL GROUP SO CA INC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Eliasar Macias | Physician Assistant | Bautista Medical Group So Ca Inc | 427 Central Ave, Fillmore, CA 93015-1329 |
Street Address |
427 CENTRAL AVE |
City | FILLMORE |
State | CA |
Zip | 93015-1329 |
Name | Specialty | Organization | Address |
---|---|---|---|
Eliasar Macias | Physician Assistant | Bautista Medical Group So Ca Inc | 427 Central Ave, Fillmore, CA 93015-1329 |
Name | Specialty | Organization | Address |
---|---|---|---|
Aaron M Luekenga | Optometry | Heritage Valley Eye Care Optometric Center | 414 Central Ave, Fillmore, CA 93015-1330 |
Rosalie N Patricio | Family Medicine | Community Memorial Health System | 852 W Ventura St, Fillmore, CA 93015-1837 |
Sendi M Sanchez | Physician Assistant | Community Memorial Health System | 852 W Ventura St, Fillmore, CA 93015-1837 |
Keith S Campeau | Family Medicine | Community Memorial Health System | 852 W Ventura St, Fillmore, CA 93015-1837 |
Nandinidevi Ramaswamy | Internal Medicine | Clinicas Del Camino Real Inc | 355 Central Ave, Fillmore, CA 93015-1920 |
Yvette Padilla | Obstetrics/gynecology | Clinicas Del Camino Real Inc | 355 Central Ave, Fillmore, CA 93015-1920 |
Logan K Bundy | Family Medicine | 533 Sespe Ave, Suite B, Fillmore, CA 93015-1942 | |
Mikael K Hakansson | Family Practice | 533 Sespe Ave, Suite C, Fillmore, CA 93015-1991 |
City | FILLMORE |
Zip Code | 93015 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | FILLMORE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jorge O Bautista.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.