Active NPI
Janice Bautista, PA-C
- Physician Assistant
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2547
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 57236 | CA | MD | Marriage & Family Therapist |
| PA2547 | NV | MD | Physician Assistant |
Practice roles (8 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carbon Health Medical Group of Washington PC | Current | Accepting new patients | |
| Carbon Health Medical Group of Florida PA | Current | Accepting new patients | |
| Daniel Taheri MD PC | Current | Accepting new patients | |
| Carbon Health Medical Group of Florida PA | Current | Accepting new patients | |
| Yang Medical Services, PLLC | Current | Accepting new patients | |
| Carbon Health Primary Care of California PC | Past | Accepting new patients | |
| Hill Physicians Medical Group - PPO Program | Past | Accepting new patients | |
| Kami Adibi MD, Inc | Past | 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
- 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.
-
- Urgent Care Clinic/Center
- Berkeley, CA
- NPI 1417294232
CA
-
- Urgent Care Clinic/Center
- Puyallup, WA
- NPI 1831900422
WA
-
- Urgent Care Clinic/Center
- Richmond, VA
- NPI 1205417615
-
- Urgent Care Clinic/Center
- Dresher, PA
- NPI 1225619638
-
- Urgent Care Clinic/Center
- Columbus, OH
- NPI 1295316602
-
- Urgent Care Clinic/Center
- Mobile, AL
- NPI 1376145821
-
- Urgent Care Clinic/Center
- Portland, OR
- NPI 1588269021
-
- Urgent Care Clinic/Center
- Littleton, CO
- NPI 1730781691
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 PAYang Medical Services PLLCCarbon Health Medical Group of California PC
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.