Provider Information
Last Updated : Jul 3 2025 11:02 AM
Luis G Bautista
City Reedley |
Group CVMP - OMNI FAMILY HEALTH - MANNING AVENUE |
Specialty Family Practice |
Last Name Bautista |
First Name Luis |
Middle Name G |
Address 1530 E Manning Ave |
State CA |
Zip Code 93654 |
Phone (866)707-6664 |
Hours Mon - Fri 8:00 AM - 5:00 PM |
Gender M |
Title M.D. |
Language 1 Spanish |
Hospital Affiliation Community Regional Medical Center& Kaweah Delta District Hospital& Adventist Health Bakersfield& Saint Agnes Medical Center |
Extender 1 Last Name Shelly |
Extender 1 First Name Santoyo |
Extender 1 Middle Name T |
Extender 1 License Type P.A. |
Extender 2 Last Name Castro |
Extender 2 First Name Miguel |
Extender 2 Middle Name A |
Extender 2 License Type P.A. |
Section Number 1 |
County FRESNO |
Accepting New Patient Yes |
PPG NAME CENTRAL VALLEY MEDICAL PROVIDERS- FRESNO COUNTY |
Clinic Service Type FQHC |
PPG ID MFRJ8 |
NPI Number 1295712206 |
Access Requirement Basic |
PARKING_IND P |
EXT_BUILD_IND EB |
INT_BUILD_IND IB |
RESTROOM_IND R |
EXAMROOM_IND E |
EXAMTBL_IND T |
License ID A097270 |
Board Certified No |
Office Language Spanish |
Self Access Flag Self Reported Data |
Alternative Last Name BAUTISTA |
Alternative First Name LUIS |
PHY CCT IND N |