NPIMap

Individual provider Active NPI

Arwinnah Bautista, MD

  • Internal Medicine Physician
  • National City, CA
National Provider Identifier
1073579173
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C51221 Issued in CA
Practice address
1430 E Plaza Blvd Ste E19A
National City, CA 91950-3690
Phone
(619) 434-2813
Fax
(855) 631-3720
NPI assigned
Apr 26, 2006
Last updated
Feb 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C51221 CA Primary

Addresses

Primary practice location

1430 E Plaza Blvd Ste E19A
National City, CA 91950-3690

Mailing address

PO Box 390232
San Diego, CA 92149-0232
Phone (619) 267-0553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040311000614 CA Practitioner - Internal Medicine 8123917986 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arwinnah Bautista MD PCGroup PAC ID 6709023245, 2 clinicians

Practice addresses (Care Compare)

1430 E Plaza Blvd
Suite E 18 and E 19a
National City, CA 91950-3690
Phone (619) 434-2813

2400 E 4TH St
National City, CA 91950-2026
Phone (619) 470-4321

655 Euclid Ave
National City, CA 91950-2980
Phone (619) 470-4115

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Paradise Valley Medical Group, Inc. Internal Medicine CurrentSince Oct 18, 2011 Accepting new patients
Paradise Valley Medical Group, Inc. CurrentSince Oct 18, 2011 Accepting new patients
Arwinnah Bautista MD, PC Internal Medicine CurrentSince Mar 12, 2013 Accepting new patients
Sutter Gould Medical Foundation Internal Medicine Past Accepting new patients
Allstar Health Providers, Inc. Past Accepting new patients
James Drew Veltmeyer MD PC PastSince Oct 27, 2024 Accepting new patients
Regents of the University of California Past Accepting new patients
Paradise Valley Hospital Past Accepting new patients
San Diego Critical Care Medical Group, Inc Internal Medicine PastSince Nov 20, 2022 Accepting new patients
Arwinnah Bautista M.D., a Professional Corporation Internal Medicine PastSince Mar 1, 2007 Accepting new patients
Gabriel T Fabella MD Inc Internal Medicine Past Accepting new patients
Saint Luke's Hospital of Trenton Past Accepting new patients
Modesto Radiological Medical Group, Inc. Past Accepting new patients

Locations

1430 E Plaza Blvd
Ste E18
National City, CA 91950
Phone (619) 267-0553

610 Euclid Ave
Ste 203
National City, CA 91950

655 Euclid Ave
Ste 408
National City, CA 91950
Phone (619) 470-4115

10737 Camino Ruiz
Ste 115
San Diego, CA 92126
Phone (858) 695-1262

2332 Reo Dr
San Diego, CA 92139
Phone (619) 267-0553

9190 Mira Mesa Blvd
San Diego, CA 92126
Phone (858) 689-1814

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: pvh-abautista@primehealthcare.direct-ci.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1073579173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390232",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921490232",
            "telephone_number": "619-267-0553",
            "fax_number": "619-267-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 E PLAZA BLVD STE E19A",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919503690",
            "telephone_number": "619-434-2813",
            "fax_number": "855-631-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "ARWINNAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C51221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

Verify at the official NPI Registry.