Individual provider Active NPI

Janice Bautista, PA-C

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1326699372
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2547 Issued in NV
Practice address
8680 W Cheyenne Ave
Las Vegas, NV 89129-7458
Phone
(702) 877-5199
NPI assigned
Sep 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2547 NV Primary

Addresses

Primary practice location

8680 W Cheyenne Ave
Las Vegas, NV 89129-7458

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV, WA, TX4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20191127001520 CA Practitioner - Physician Assistant 5395178636 Reassigns benefits to 1 organization
I20220420000308 NV Practitioner - Physician Assistant 5395178636 Reassigns benefits to 2 organizations
I20250918004576 WA Practitioner - Physician Assistant 5395178636 Reassigns benefits to 2 organizations
I20251121002908 TX Practitioner - Physician Assistant 5395178636 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
57236CAMDMarriage & Family Therapist
PA2547NVMDPhysician Assistant

Practice roles (8 of 9)

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of Washington PC CurrentSince Nov 11, 2025 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Jun 30, 2025 Accepting new patients
Daniel Taheri MD PC CurrentSince Mar 1, 2026 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Nov 1, 2025 Accepting new patients
Yang Medical Services, PLLC CurrentSince Nov 30, 2025 Accepting new patients
Carbon Health Primary Care of California PC PastSince Jul 20, 2025 Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Kami Adibi MD, Inc PastSince Jan 1, 2020 Accepting new patients

Locations

2920 Telegraph Ave
Ste 100
Berkeley, CA 94705
Phone (415) 549-0212

1181 Grier Dr
Ste C
Las Vegas, NV 89119
Phone (888) 888-9930

8828 Mohawk St
Ste 201
Las Vegas, NV 89139
Phone (702) 342-5390

5550 Painted Mirage Rd
Ste 200
Las Vegas, NV 89149
Phone (661) 425-0295

5731 S Fort Apache Rd
Ste 130
Las Vegas, NV 89148
Phone (702) 272-1600

2615 Box Canyon Dr
Las Vegas, NV 89128
Phone (702) 998-8486

150 E Centennial Pkwy
Ste 104
North Las Vegas, NV 89084
Phone (702) 852-2402

1470 E Calvada Blvd
Ste 600
Pahrump, NV 89048
Phone (775) 727-9800

17903 W Lake Houston Pkwy
Ste 101
Humble, TX 77346
Phone (215) 570-6856

19220 S Ih 35
Ste 300
Kyle, TX 78640
Phone (737) 265-3964

11100 NE 6th St
Bellevue, WA 98004
Phone (206) 350-7345

1750 S 320th St
#M24
Federal Way, WA 98003
Phone (253) 553-3761

13210 39th Ave SE
Unit 102
Mill Creek, WA 98012
Phone (425) 216-6955

10221 156th St E
Ste P1102
Puyallup, WA 98374
Phone (253) 292-5297

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: janice.bautista@398008301912068.direct.elationemr.com

Organizations & group practices 19

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.

View all 19

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carbon Health Medical Group of Florida PA 55 clinicians
Yang Medical Services PLLC 37 clinicians
Carbon Health Medical Group of California PC 335 clinicians

Practice addresses (Care Compare)

11100 NE 6TH St
Bellevue, WA 98004-5524
Phone (206) 350-7345

1181 Grier Dr
Suite C
Las Vegas, NV 89119-3746
Phone (888) 888-9930

13365 W Washington Blvd
Los Angeles, CA 90066-5134
Phone (310) 504-1825

1390 El Paseo de Saratoga
Suite 1390
San Jose, CA 95130-1632
Phone (408) 533-0345

1390 Market St
Suite 109
San Francisco, CA 94102-5403
Phone (415) 918-5766

14443 Culver Dr
14443 A
Irvine, CA 92604-0343
Phone (949) 767-8173

1760 S Bascom Ave
Suite 140
Campbell, CA 95008-0638
Phone (408) 214-9732

17903 W Lake Houston Pkwy
Suite 101
Atascocita, TX 77346-3954
Phone (215) 570-6856

1998 Market St
San Francisco, CA 94102-6228
Phone (415) 792-6040

2110 W Sunset Blvd
Suite M
Los Angeles, CA 90026-7318
Phone (833) 873-2852

2671 Blanding Ave
Suite a
Alameda, CA 94501-1587
Phone (510) 694-4816

2690 5TH St
Suite B
Alameda, CA 94501-6584
Phone (510) 439-9447

303 Corte Madera Town Ctr
Corte Madera, CA 94925-1207
Phone (415) 840-8615

3851 Katella Ave
Suite 100
Los Alamitos, CA 90720-3385
Phone (562) 430-4138

3955 Bedford Canyon Rd
Unit 103
Corona, CA 92883-3627
Phone (951) 293-4722

411 Grand Ave
Oakland, CA 94610-5022
Phone (510) 844-4097

4112 E Commerce Way
Sacramento, CA 95834-9680
Phone (916) 447-6337

4156 Manzanita Ave
Suite 100
Carmichael, CA 95608-1496
Phone (916) 488-6337

46 Hillsdale Mall
San Mateo, CA 94403-3407
Phone (650) 769-5612

500 1St St
Paso Robles, CA 93446-3742
Phone (805) 226-4222

701 Sunrise Ave
Roseville, CA 95661-4502
Phone (916) 772-6337

7330 El Camino Real
Atascadero, CA 93422-4629
Phone (805) 703-2501

9722 Great Hills TRL
Suite 375
Austin, TX 78759-7263
Phone (512) 910-3932

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1326699372",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8680 W CHEYENNE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297458",
            "telephone_number": "702-877-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "JANICE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-20",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.