MEDICARE: DR. JESUS PULIDO BALDONADO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VG0400X	Gynecology Physician	G68306	CA
2	207VX0000X	Obstetrics Physician	G68306	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235293127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JESUS PULIDO BALDONADO M.D.

Provider Business Mailing Address
First Line	:	1201 JEFFERSON ST
Second Line	:
City	:	DELANO
State	:	CA
Zip	:	93215-2203
Country	:	US
Telephone Number	:	661-721-0737
Fax Number	:	661-721-0738

Provider Business Practice Location Address
First Line	:	1201 JEFFERSON ST
Second Line	:
City	:	DELANO
State	:	CA
Zip	:	93215-2203
Country	:	US
Telephone Number	:	661-721-0737
Fax Number	:	661-721-0738

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2006
Last Update Date	:	09/11/2025

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