Individual provider Active NPI

Joshua Aaron Bautista, FNP-BC

  • Primary Care Nurse Practitioner
  • Newport Beach, CA
National Provider Identifier
1386514123
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95035952 Issued in CA
Practice address
4041 Macarthur Blvd
Newport Beach, CA 92660-2512
Phone
(949) 736-6102
Fax
(877) 223-5602
NPI assigned
Nov 7, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95035952 CA Primary

Addresses

Primary practice location

4041 Macarthur Blvd
Newport Beach, CA 92660-2512

Mailing address

12141 Centralia St Unit 302
Lakewood, CA 90715-1566

Other practice location 1

12141 Centralia St Unit 302
Lakewood, CA 90715-1566
Phone (562) 547-8560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hoag ClinicGroup PAC ID 3274872064, 447 clinicians

Practice addresses (Care Compare)

4041 Macarthur Blvd
Newport Beach, CA 92660-2512
Phone (949) 736-6155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95035952CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hoag Clinic CurrentSince May 18, 2026 Accepting new patients

Locations

4041 MacArthur Blvd
Newport Beach, CA 92660
Phone (949) 736-6102

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1386514123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12141 CENTRALIA ST UNIT 302",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907151566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 MACARTHUR BLVD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602512",
            "telephone_number": "949-736-6102",
            "fax_number": "877-223-5602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12141 Centralia St Unit 302",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CA",
            "postal_code": "907151566",
            "country_code": "US",
            "telephone_number": "562-547-8560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "JOSHUA",
        "middle_name": "AARON",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-07",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95035952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.