Rogelio Bautista, DPT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

PT 38292 Issued in CA

Practice address

3703 Lindbergh St
San Diego, CA 92154-1654

Phone

(619) 750-9227

NPI assigned

Jul 25, 2013

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": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1699117002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 LINDBERGH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921541654",
            "telephone_number": "619-750-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 LINDBERGH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921541654",
            "telephone_number": "619-750-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "ROGELIO",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-25",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "PT 38292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lino O. Bautista, MD
• Maria Corazon Bautista, M.D.
• Marie Angela M Bautista, MS, PA-C
• Oscar Russell Ordonez Bautista, P.T.
• Raquel Bautista
• Roger Bautista
• Rosa Carolina Bautista, DNP
• Sandy Bautista
• Nasim Bavar, MFT
• Reza Bavarsad Shahripour, MD

• Geriatric Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Geriatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.