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Provider Information - CalViva Health
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Provider Information

Last Updated : Sep 5 2025 2:28 PM

Juan G Bautista

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City
Fresno
Group
Direct Network: Fresno
Specialty
General Practice
Last Name
Bautista
First Name
Juan
Middle Name
G
Address
2900 Fresno St. Ste 100
State
CA
Zip Code
93721
Phone
(559)499-0520
Hours
Mon - Fri 8:00 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
Limited
PARKING_IND
P
INT_BUILD_IND
IB
EXAMROOM_IND
E
License ID
A122998
Email
sunnyside5539@gmail.com
Board Certified
No
Self Access Flag
Facility Site Database
PHY CCT IND
Y
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Is any of the information above incorrect? Please use this online form to send us a correction or email directoryrequest@calvivahealth.org. You may also call 1-888-893-1569 TTY 711.