Michael Bautista

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

95037152 Issued in CA

Practice address

1054 Park Meadows Rd
Chula Vista, CA 91915-1413

Phone

(619) 988-0357

NPI assigned

Mar 25, 2026

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1659210656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 PARK MEADOWS RD",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919151413",
            "telephone_number": "619-988-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 PARK MEADOWS RD",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919151413",
            "telephone_number": "619-988-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95037152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Dean Baumer
• Ruby Bautista Hernandez
• Cristina Guadalupe Bautista
• Crystal Bautista
• Kimberly Bautista
• Mary Joy Bauzon, PHARMACIST
• Stephanie Baxter Quijas
• John Baxter
• Tiffany Jean Baxter
• Nasser Bayati, M.D.

• All providers in Chula Vista, CA
• Acute Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.