Raymundo S. Bautista M.D. Apc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A52874 Issued in CA

Legal business name

RAYMUNDO S. BAUTISTA M.D. APC

Practice address

1523 E Amar Rd
Suite D
West Covina, CA 91792-1619

Phone

(626) 839-9100

Fax

(626) 839-9106

NPI assigned

Jul 1, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Raymundo Sevilla Bautista, M.D.

Title

Medical Director

Phone

(626) 839-9100

Specialties & licenses 1

Addresses

Tax ID family

Raymundo S Bautista MD Apc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Raymundo S Bautista, MD, Prof Corp

  • Nephrology Physician
  • Glendora, CA
  • NPI 1023143427
  NPD tax ID

Locations

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1710115456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 E AMAR RD",
            "address_2": "SUITE D",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917921619",
            "telephone_number": "626-839-9100",
            "fax_number": "626-839-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 E AMAR RD",
            "address_2": "SUITE D",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917921619",
            "telephone_number": "626-839-9100",
            "fax_number": "626-839-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMUNDO S. BAUTISTA M.D. APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "RAYMUNDO",
        "authorized_official_middle_name": "SEVILLA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "626-839-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A52874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Ransom
• Amanda Michelle Rapinchuk
• Kiatkachorn Ratanatharathorn, DDS
• Dana Linnea Rawlings, O.D.
• Priynka Rawtani
• Mireya Eunice Recinos
• Lindsay Edna Reeder-Mendoza
• Regal Senior Living Corporation
• Regal Senior Living Corporation
• Emily Regan, COTA/L

• Nephrology Physician in West Covina, CA
• Providers in West Covina, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.