NPIMap

Organization Active NPI

Arwinnah Bautista M.D., a Professional Corporation

  • Internal Medicine Physician
  • Modesto, CA
National Provider Identifier
1720278450
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ARWINNAH BAUTISTA M.D., A PROFESSIONAL CORPORATION
Practice address
2612 Temescal Dr
Modesto, CA 95355-8698
Phone
(209) 985-1845
Fax
(209) 551-8594
NPI assigned
Jul 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Authorized official

Name
Dr. Arwinnah Bautista, MDNPI 1073579173
Title
President
Phone
(209) 985-1845

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2612 Temescal Dr
Modesto, CA 95355-8698

Mailing address

PO Box 576825
Modesto, CA 95357-6825
Phone (209) 985-1845

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1720278450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 576825",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953576825",
            "telephone_number": "209-985-1845",
            "fax_number": "209-551-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 TEMESCAL DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953558698",
            "telephone_number": "209-985-1845",
            "fax_number": "209-551-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARWINNAH BAUTISTA M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "ARWINNAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-985-1845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; 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.