Bautista Medical Group Southern California, Inc. - Medicare Primary Care in Fillmore, CA

Bautista Medical Group Southern California, Inc. is a medicare enrolled primary clinic (Family Medicine) in Fillmore, California. The current practice location for Bautista Medical Group Southern California, Inc. is 427 Central Ave, Fillmore, California. For appointments, you can reach them via phone at (805) 524-0777. The mailing address for Bautista Medical Group Southern California, Inc. is 427 Central Ave, Fillmore, California and phone number is (805) 524-2559.

Bautista Medical Group Southern California, Inc. is licensed to practice in California (license number A43293). The clinic also participates in the medicare program and its NPI number is 1629101340. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (805) 524-0777.

Contact Information

Bautista Medical Group Southern California, Inc.
427 Central Ave
Fillmore
CA 93015
(805) 524-0777
(805) 524-0111

Primary Care Clinic Profile

Full NameBautista Medical Group Southern California, Inc.
SpecialityFamily Medicine
Location427 Central Ave, Fillmore, California
Authorized Official Name and PositionJose Luis Bautista (INTERNIST)
Authorized Official Contact8055242559
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bautista Medical Group Southern California, Inc.
427 Central Ave
Fillmore
CA 93015-1329

Ph: (805) 524-2559
Bautista Medical Group Southern California, Inc.
427 Central Ave
Fillmore
CA 93015

Ph: (805) 524-0777

NPI Details:

NPI Number1629101340
Provider Enumeration Date03/13/2007
Last Update Date01/31/2023

Medicare PECOS Information:

Medicare PECOS PAC ID6406801604
Medicare Enrollment IDO20050321000980

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Medical Identifiers

Medical identifiers for Bautista Medical Group Southern California, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629101340NPI-NPPES
GR0063042MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A43293 (California)Primary
207Q00000XFamily Medicine PA15385 (California)Secondary
207Q00000XFamily Medicine A97270 (California)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Bautista Medical Group Southern California, Inc. acts as a billing entity for following providers:
Provider NameLuis Bautista
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295712206
PECOS PAC ID: 2668505785
Enrollment ID: I20100727000116

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Family Medicine in Fillmore, CA

Fillmore Family Medical Group Fqhc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 828 W Ventura St Ste 100, Fillmore, CA 93015
Phone: 805-524-2000    
Sespe Medical, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 552 Sespe Ave, Fillmore, CA 93015
Phone: 805-524-2559    Fax: 805-524-2596
Cmh Centers For Family Health
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 852 W Ventura St, Fillmore, CA 93015
Phone: 805-524-2672    Fax: 805-524-3953
Christine Marie Johnston Md Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 552 Sespe Ave Ste C, Fillmore, CA 93015
Phone: 805-524-2000    Fax: 805-524-9601
Mikael Hakansson, M.d. Corp.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 533 Sespe Ave Ste C, Fillmore, CA 93015
Phone: 805-524-2749    Fax: 805-524-6929
Razi Apothecary, Inc.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 552 Sespe Ave, Fillmore, CA 93015
Phone: 805-419-2686    
Quik Care Medical Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 427 Central Ave, Fillmore, CA 93015
Phone: 805-524-2559    Fax: 805-524-2596

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