Joseph Ian David Bautista

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

296226 Issued in CA

Practice address

1510 Sweetwater Rd Ste B
National City, CA 91950-7643

Phone

(619) 552-2870

NPI assigned

Feb 20, 2019

Sex

Male

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Project B Physical Therapy and Performance Inc.

  • Physical Therapist
  • Chula Vista, CA
  • NPI 1285372524
  NPD Authorized official
• Mobile Rehab Inc

  • Physical Therapy Clinic/Center
  • National City, CA
  • NPI 1013445113

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1740746221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 PAPPAS CT",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919117034",
            "telephone_number": "619-764-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 SWEETWATER RD STE B",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919507643",
            "telephone_number": "619-552-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "JOSEPH IAN",
        "middle_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-20",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "296226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzenne Bartolome
• Pavit Basi, OD
• Gustavo Christian Bastien Cabrera, DDS
• Russell Baterina, PTA
• Arwinnah Bautista, MD
• Chelsee Renee Bavas, SFIDC
• Hazelle Lama Baylosis, NP
• Yolanda Bedolla
• Katherine Heesoon Beers, COTA/L
• Gilbert Belandres

• Physical Therapist in National City, CA
• Providers in National City, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.