Active NPI
Grace Sevilla Bautista, M.D.
- Infectious Disease Physician
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- A045534
- Practice address
- 675 Arroyo Parkway, Suite 330
Pasadena, CA 90640 - Phone
- (626) 395-5268
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | A045534 | CA | Primary |
| Internal Medicine Physician | 207R00000X | A045534 | CA |
Addresses
Primary practice location
675 Arroyo Parkway, Suite 330
Pasadena, CA 90640
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1236 N Magnolia Ave
Anaheim, CA 92801-2607
Phone (714) 995-1000
675 S Arroyo Pkwy
Pasadena, CA 91105-3263
Phone (626) 585-4120
824 E Carson St
Suite 104
Carson, CA 90745-2262
Phone (310) 830-9706
988 S Fair Oaks Ave
Pasadena, CA 91105-2626
Phone (626) 799-4194
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A045534 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Internal Medicine | Current | Accepting new patients |
| Pasadena Hospital Association, LTD. | Past | Accepting new patients | |
| Memorial Medical Group Inc | Past | Accepting new patients |
Locations
1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000
5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864
2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
1025 W Olympic Blvd
Los Angeles, CA 90015
Phone (213) 623-2225
675 S Arroyo Pkwy
Ste 420430
Pasadena, CA 91105
988 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 582-7980
675 S Arroyo Pkwy
Pasadena, CA 91105
Phone (626) 585-4120
675 S Arroyo Pkwy
Ste 330
Pasadena, CA 91105
Phone (626) 395-5268
601 Torrance Blvd
#1182
Redondo Beach, CA 90277
1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- gracebautista@hcpca.allscriptsdirect.net
- gbautista206275@westdirect.optum.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764892800000",
"number": "1215021720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380",
"telephone_number": "702-579-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 ARROYO PARKWAY, SUITE 330",
"city": "PASADENA",
"state": "CA",
"postal_code": "90640",
"telephone_number": "626-395-5268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUTISTA",
"first_name": "GRACE",
"middle_name": "SEVILLA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "CA",
"license": "A045534",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A045534",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.