DR. RAYMOND M BAUTISTA (NPI# 1043265549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043265549 |
| Entity Type | Individual |
| Full Name | DR. RAYMOND M BAUTISTA |
| Practice Address |
701 E 28th St Suite 111 Long Beach CA 90806-2759 |
| Practice Telephone | 5624262551 |
| Practice Fax Number | 5629880610 |
| Mailing Telephone | 5624262551 |
| Mailing Fax Number | 5629880610 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2013-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
E4157 | CA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
701 E 28TH ST SUITE 111 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-2759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144201138 | Patricia J Gambol | Clinical Nurse Specialist | 701 E 28th St, Suite 412, Long Beach, CA 90806-2759 | 2005-11-08 |
| 1003448374 | Andrew Ji Kang | Allergy & Immunology | 701 E 28th St, Long Beach, CA 90806-2759 | 2020-02-05 |
| 1366083099 | Loren Rachel Chan | Nurse Practitioner | 701 E 28th St, Long Beach, CA 90806-2759 | 2019-10-03 |
| 1891349882 | So Young Choi | Physician Assistant | 701 E 28th St, Long Beach, CA 90806-2759 | 2019-07-28 |
| 1851836084 | Ankur Gupta Md Inc | Surgery | 701 E 28th St, Suite #314, Long Beach, CA 90806-2759 | 2016-12-25 |
| 1275990582 | Frank Perreault | Technician, Other | 701 E 28th St, Long Beach, CA 90806-2759 | 2016-01-19 |
| 1659753358 | St. Michael Surgery Center, LLC | Clinic/Center | 701 E 28th St, Suite 300, Long Beach, CA 90806-2759 | 2015-06-18 |
| 1396132254 | United Medical Radiology Network | Clinic/Center | 701 E 28th St, Suite 318, Long Beach, CA 90806-2759 | 2015-04-17 |
| 1801287560 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 701 E 28th St, Suite 318, Long Beach, CA 90806-2759 | 2015-02-16 |
| 1528498771 | Dea Kurtovic | Nurse Practitioner | 701 E 28th St, Suite 418, Long Beach, CA 90806-2759 | 2013-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| Taxonomy Code | 213ES0000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Sports Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992164628 | Marin Foot and Ankle | Podiatrist | 7 N Knoll Rd Ste 3, Mill Valley, CA 94941-1665 | 2016-02-23 |
| 1528363249 | Tres Peros Inc | Podiatrist | 222 Front St Fl 6, San Francisco, CA 94111-4422 | 2011-01-12 |
| 1518003243 | Dale Sovak | Podiatrist | 4576 E 2nd St, H, Benicia, CA 94510-1046 | 2007-01-29 |
| 1033271705 | Arnold Serkin | Podiatrist | 3400 Lomita Blvd Ste 403, Torrance, CA 90505-4930 | 2006-12-15 |
| 1104998434 | Alona Kashanian | Podiatrist | 3984 South Figueroa Street, Los Angeles, CA 90037 | 2006-11-14 |
| 1790866887 | Remy Ardizzone | Podiatrist | 900 Hyde Street, Suite 1100, Center for Sports Medicine, San Francisco, CA 94109 | 2006-10-17 |
| 1164515623 | Irwin D Cohen | Podiatrist | 585 Kelly St, Half Moon Bay, CA 94019 | 2006-10-02 |
| 1477664662 | David Ray Hannaford | Podiatrist | 750 Las Gallinas Ave Ste 102, San Rafael, CA 94903-3431 | 2006-08-31 |
| 1003920851 | Colleen Schwartz | Podiatrist | 273 Spring St, Pleasanton, CA 94566-6625 | 2006-08-18 |
| 1295766475 | Neil Brian Mansdorf | Podiatrist | 555 N Tustin St, Orange, CA 92867-7611 | 2006-07-05 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
Please comment or provide details below to improve the information on DR. RAYMOND M BAUTISTA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.