DR. MARIA CORAZON BAUTISTA (NPI# 1528167723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528167723 |
| Entity Type | Individual |
| Full Name | DR. MARIA CORAZON BAUTISTA |
| Credential | M.D. |
| Practice Address |
11878 Avenue of Industry San Diego CA 92128-3423 |
| Mailing Address |
Po Box 1770 La Mesa CA 91944-1770 |
| Practice Telephone | 8587224779 |
| Mailing Telephone | 8587224779 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-02-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A41768 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A417680 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942422563 | Maria Doreen Bautista | Dentist | 980 King Drive #5, Daly City, CA 94015 | 2007-05-03 |
| 1609356724 | Maria Briones Bautista | Dental Assistant | 3820 Sepulveda Blvd, Torrance, CA 90505-2408 | 2018-08-17 |
| 1790273258 | Maria Bautista | Behavior Technician | 1900 Embarcadero Ste 310, Oakland, CA 94606-5227 | 2018-04-30 |
| 1750809216 | Maria Fernanda Bautista | Specialist/Technologist | 6900 S Orange Blossom Trl Ste 102, Orlando, FL 32809-5734 | 2017-09-05 |
| 1801261920 | Maria Candie Bautista | Nurse Practitioner | 1850 Sullivan Ave, Daly City, CA 94015-2221 | 2015-12-01 |
| 1407118342 | Maria Bautista | Social Worker | 441 W 26th St, New York, NY 10001-5629 | 2012-06-15 |
| 1073676458 | Maria Imelda Bautista | Pediatrics | 1303 Henry Clay Avenue, Neonatal Medical Group, New Orleans, LA 70118 | 2006-12-18 |
| 1578673968 | Maria Lourdes De Guzman Bautista | Pediatrics | 4422 3rd Ave, Bronx, NY 10457-2545 | 2006-08-30 |
| 1730187691 | Maria Veronica Bautista | Pediatrics | 3800 Reservoir Rd Nw, 2phc, Washington, DC 20007-2113 | 2005-07-13 |
| 1710981485 | Maria H Bautista | General Practice | 1039 Haskins Rd, Bowling Green, OH 43402-9065 | 2005-06-09 |
| Street Address |
11878 AVENUE OF INDUSTRY |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128-3423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073511390 | Michael L. Ross | Pharmacist | 11878 Avenue of Industry, San Diego, CA 92128-3423 | 2005-07-11 |
| 1306457593 | Daniel Craig Canez | Student in an Organized Health Care Education/Training Program | 11878 Avenue of Industry, San Diego, CA 92128-3423 | 2020-08-12 |
| 1578181343 | Congruity Healthcare PC | Psychiatry & Neurology | 11878 Avenue of Industry, San Diego, CA 92128-3423 | 2020-07-08 |
| 1164047353 | Andrew Allen Md Corporation | Psychiatry & Neurology | 11878 Avenue of Industry, San Diego, CA 92128-3423 | 2020-06-12 |
| 1710524814 | Megan Orestano | Registered Nurse | 11878 Avenue of Industry, San Diego, CA 92128-3423 | 2019-12-08 |
| 1013578939 | Ryan Wang Md A Professional Corporation | Psychiatry & Neurology | 11878 Avenue of Industry, San Diego, CA 92128-3423 | 2019-06-21 |
| 1386177251 | Ryan M. Wilke, D.o., A Medical Corporation | Psychiatry & Neurology | 11878 Avenue of Industry, San Diego, CA 92128 | 2017-04-07 |
| 1275981037 | Andrew Thomas Allen | Psychiatry & Neurology | 11878 Avenue of Industry, San Diego, CA 92128-3423 | 2016-06-01 |
| 1770930075 | Ross Palmer | Psychiatry & Neurology | 11878 Avenue of Industry, San Diego, CA 92128-3423 | 2016-05-17 |
| 1184081523 | Steven P. James, M.d., Inc. | Psychiatry & Neurology | 11878 Avenue of Industry, San Diego, CA 92128-3423 | 2016-01-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
| 1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
| Find all providers in zip 92128 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184233645 | Svr Medical PC | Internal Medicine | 4440 Euclid Ave Ste E, San Diego, CA 92115-4522 | 2020-07-30 |
| 1023639176 | Arthur Wong | Internal Medicine | 4222 Kansas St Unit 2, San Diego, CA 92104-1802 | 2020-04-29 |
| 1679102461 | Santosh Vetticaden | Internal Medicine | 6420 Mesa Norte Dr, San Diego, CA 92130-6852 | 2020-04-03 |
| 1225664964 | Andres Smith M.d. A Professional Medical Corporation | Internal Medicine | 6244 El Cajon Blvd Ste 29, San Diego, CA 92115-3918 | 2020-03-13 |
| 1154972388 | Kimberly Hall Fernandez | Internal Medicine | 700 W E St Unit 2101, San Diego, CA 92101-5993 | 2019-09-29 |
| 1992289300 | Sd Healthcare Solutions | Internal Medicine | 5943 Thorn St, San Diego, CA 92105-3916 | 2018-09-21 |
| 1992295331 | Alera Inc | Internal Medicine | 2667 Camino Del Rio S Ste 307-6, San Diego, CA 92108 | 2018-05-11 |
| 1275020844 | Lf Capital Inc | Internal Medicine | 438 Camino Del Rio S Ste 203, San Diego, CA 92108-3546 | 2018-04-18 |
| 1710401302 | Ca Post Acute Specialists PC | Internal Medicine | 3525 Del Mar Heights Rd # 966, San Diego, CA 92130-2199 | 2017-07-26 |
| 1063933604 | John Jackson Howard | Internal Medicine | 4616 Patricia Pl, San Diego, CA 92115-1934 | 2017-07-05 |
| Find all providers in SAN DIEGO | ||||
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| 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.