Oscar Russell Ordonez Bautista, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

27704 Issued in CA

Practice address

8670 New Salem St.
Unit # 112
San Diego, CA 92126

Phone

(858) 231-2780

NPI assigned

Oct 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Triphysio LLC

  • Physical Therapist
  • San Diego, CA
  • NPI 1881290468
  Medicare reassignment NPD
• Advanced Therapy Services, Inc.

  • Specialist
  • Chula Vista, CA
  • NPI 1164668125

  Physical Therapist

  NPD (past)
• Outpatient Rehab. Centers of N.Y.

  dba Center for Rehabilitation@Bronx

  • Physical Medicine & Rehabilitation Physician
  • Bronx, NY
  • NPI 1215958764

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1316135015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8670 NEW SALEM ST.",
            "address_2": "UNIT # 112",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92126",
            "telephone_number": "858-231-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8670 NEW SALEM ST.",
            "address_2": "UNIT # 112",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92126",
            "telephone_number": "858-231-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "OSCAR RUSSELL",
        "middle_name": "ORDONEZ",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "27704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Joyce Geronimo Bautista, OTR/L
• Leanna Mae Florentino Bautista
• Lino O. Bautista, MD
• Maria Corazon Bautista, M.D.
• Marie Angela M Bautista, MS, PA-C
• Raquel Bautista
• Rogelio Bautista, DPT
• Roger Bautista
• Rosa Carolina Bautista, DNP
• Sandy Bautista

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.