Active NPI
Arwinnah Bautista MD, PC
- Internal Medicine Physician
- National City, CA
National Provider Identifier
1053501213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 00C512210
- Legal business name
- ARWINNAH BAUTISTA MD, PC
- Practice address
- 1430 E Plaza Blvd Ste E18&E19A
National City, CA 91950-3665 - Phone
- (619) 434-2813
- Fax
- (855) 631-3720
- NPI assigned
- Jul 25, 2007
- Organization subpart
- Yes
- Parent organization
- PROFESSIONAL CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arwinnah Bautista, MD
- Title
- Internal Medicine
- Phone
- (619) 434-2813
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 00C512210 | CA | Primary |
Addresses
Primary practice location
1430 E Plaza Blvd Ste E18&E19A
National City, CA 91950-3665
Mailing address
1430 E Plaza Blvd Ste E18&E19A
National City, CA 91950-3665
Phone (619) 434-2813
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Arwinnah Bautista MD PC
Locations
1430 E Plaza Blvd
Ste E19A
National City, CA 91950
Phone (619) 434-2813
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- National City, CA
- NPI 1073579173
-
- Family Nurse Practitioner
- El Cajon, CA
- NPI 1700314978
-
- Family Medicine Physician
- San Diego, CA
- NPI 1649301946
-
- Primary Care Nurse Practitioner
- El Cajon, CA
- NPI 1063835692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581292800000",
"number": "1053501213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 E PLAZA BLVD STE E18&E19A",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919503665",
"telephone_number": "619-434-2813",
"fax_number": "855-631-3720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 E PLAZA BLVD STE E18&E19A",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919503665",
"telephone_number": "619-434-2813",
"fax_number": "855-631-3720"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARWINNAH BAUTISTA MD, PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PROFESSIONAL CORPORATION",
"enumeration_date": "2007-07-25",
"last_updated": "2020-02-10",
"certification_date": "2020-02-10",
"status": "A",
"authorized_official_last_name": "BAUTISTA",
"authorized_official_first_name": "ARWINNAH",
"authorized_official_title_or_position": "INTERNAL MEDICINE",
"authorized_official_telephone_number": "619-434-2813",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "00C512210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in National City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.