Active NPI
Raymond Bautista DPM, Inc
- Non-Pharmacy Dispensing Site
- Long Beach, CA
National Provider Identifier
1285219634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- Legal business name
- RAYMOND BAUTISTA DPM, INC
- Practice address
- 701 E 28TH St Ste 111
Long Beach, CA 90806-2715 - Phone
- (562) 426-2551
- NPI assigned
- Mar 16, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Raymond Bautista, DPM
- Title
- Medical Director
- Phone
- (818) 430-6312
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 |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | Primary |
Addresses
Primary practice location
701 E 28TH St Ste 111
Long Beach, CA 90806-2715
Mailing address
1445 Valley View Rd Apt 1
Glendale, CA 91202-1721
National Provider Directory
National Provider Directory- Tax ID family
- Raymond Bautista DPM Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Podiatric Medicine Podiatrist
- Long Beach, CA
- NPI 1619553591
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Medicine Podiatrist
- Long Beach, CA
- NPI 1043265549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615852800000",
"number": "1285219634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1445 VALLEY VIEW RD APT 1",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912021721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E 28TH ST STE 111",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062715",
"telephone_number": "562-426-2551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAYMOND BAUTISTA DPM, INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-16",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A",
"authorized_official_last_name": "BAUTISTA",
"authorized_official_first_name": "RAYMOND",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "818-430-6312",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.