Provider Information
Last Updated : May 3 2024 11:12 AM
Juan G Bautista
City Fresno |
Group Direct Network: Fresno |
Specialty General Practice |
Last Name Bautista |
First Name Juan |
Middle Name G |
Address 3440 W. Shaw Ave. |
State CA |
Zip Code 93711 |
Phone (559)277-2273 |
Hours Mon - Fri 7:30 AM - 4:30 PM |
Gender M |
Title M.D. |
Physician ID 199393 |
Language 1 Spanish |
Extender 1 Last Name Alvarez |
Extender 1 First Name Eliezer |
Extender 1 License Type P.A. |
Extender 2 Last Name Garnica |
Extender 2 First Name Diana |
Extender 2 Middle Name C |
Extender 2 License Type NP |
Section Number 1 |
County FRESNO |
Accepting New Patient Yes |
PPG NAME Direct Network: Fresno |
PPG ID MFRDN |
NPI Number 1164713194 |
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 A122998 |
Email sunnyside5539@gmail.com |
Board Certified No |
Office Language Spanish |
Self Access Flag Self Reported Data |
PHY CCT IND Y |