Active NPI
Donna Bautista, D.D.S.
- Dentist
- Mission Viejo, CA
National Provider Identifier
1578853503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 42906
- Practice address
- 26137 La Paz Rd
Suite 270
Mission Viejo, CA 92691-5319 - Phone
- (949) 226-7222
- Fax
- (949) 581-5454
- NPI assigned
- Apr 11, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 42906 | CA | Primary |
Addresses
Primary practice location
26137 La Paz Rd
Suite 270
Mission Viejo, CA 92691-5319
Mailing address
26137 La Paz Rd
Suite 270
Mission Viejo, CA 92691-5319
Phone (949) 226-7222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42906 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347580800000",
"number": "1578853503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26137 LA PAZ RD",
"address_2": "SUITE 270",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926915319",
"telephone_number": "949-226-7222",
"fax_number": "949-581-5454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26137 LA PAZ RD",
"address_2": "SUITE 270",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926915319",
"telephone_number": "949-226-7222",
"fax_number": "949-581-5454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUTISTA",
"first_name": "DONNA",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-11",
"last_updated": "2012-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "42906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.