Raymond M Bautista (NPI# 1043265549, PAC ID# 4688753064) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1043265549 |
| PAC ID by PECOS | 4688753064 |
| Professional Enrollment ID | I20080509000577 |
| Full Name | Raymond M Bautista |
| Organization Legal Name | KIM FOOT AND ANKLE MEDICAL CENTERS OF LONG BEACH |
| Address |
701 E 28th St Suite 111 Long Beach CA 90806-2715 |
| Phone Number | 5624262551 |
| Gender | M |
| Medical School | CALIFORNIA COLLEGE PODIATRIC MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 9133163108 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050485 | LONG BEACH MEMORIAL MEDICAL CENTER |
| 050191 | ST MARY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 701 E 28th St, Suite 111, Long Beach, CA 90806-2715 | 5624262551 | KIM FOOT AND ANKLE MEDICAL CENTERS OF LONG BEACH |
| Organization Legal Name | KIM FOOT AND ANKLE MEDICAL CENTERS OF LONG BEACH |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| S Don Kim | Podiatry | Kim Foot and Ankle Medical Centers of Long Beach | 701 E 28th St, Suite 111, Long Beach, CA 90806-2715 |
| Street Address |
701 E 28TH ST SUITE 111 |
| City | LONG BEACH |
| State | CA |
| Zip | 90806-2715 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frederick L Stafford | General Surgery | 701 E 28th St, Suite 416, Long Beach, CA 90806-2787 | |
| Ankur Gupta | Vascular Surgery | 701 E 28th St, Suite 314, Long Beach, CA 90806-2702 | |
| Leslie H Edrich | General Surgery | 701 E 28th St, Suite 400, Long Beach, CA 90806-2778 | |
| Milan R Sheth | Hematology/oncology | Coast Hematology-oncology Assoc. Med. Group Inc. | 701 E 28th St, Suite 418, Long Beach, CA 90806-2700 |
| Barton Harris Wachs | Urology | 701 E 28th St, Suite 319, Long Beach, CA 90806-2700 | |
| Eknath A Deo | Hematology/oncology | Coast Hematology-oncology Assoc. Med. Group Inc. | 701 E 28th St, Suite 418, Long Beach, CA 90806-2700 |
| S Don Kim | Podiatry | Kim Foot and Ankle Medical Centers of Long Beach | 701 E 28th St, Suite 111, Long Beach, CA 90806-2715 |
| Nayyer Ali | Critical Care (intensivists) | 701 E 28th St, Suite 400, Long Beach, CA 90806-2700 | |
| Nilesh L Vora | Hematology/oncology | Coast Hematology-oncology Assoc. Med. Group Inc. | 701 E 28th St, Suite 418, Long Beach, CA 90806-2700 |
| Irene A Malek | Family Practice | 701 E 28th St, Suite 301, Long Beach, CA 90806-2779 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Guy G Lemire | Thoracic Surgery | Long Beach Blvd, Memorial Heart Center, Long Beach, CA 90806 | |
| Pedram Aslmand | Podiatry | Advanced Foot and Ankle Center, Inc. | 2840 Long Beach Blvd, Suite 205, Long Beach, CA 90806-1504 |
| Mariam Botros | Podiatry | Advanced Foot and Ankle Center, Inc. | 2840 Long Beach Blvd, Suite 205, Long Beach, CA 90806-1504 |
| Lisa Nhan | Podiatry | Advanced Foot and Ankle Center, Inc. | 2840 Long Beach Blvd, Suite 205, Long Beach, CA 90806-1504 |
| Orland P Garcia | Occupational Therapy | California Rehab and Sports Therapy | 2888 Long Beach Blvd, Suite 405, Long Beach, CA 90806-1551 |
| Michael W Rymer | Physical Therapy | California Rehab and Sports Therapy | 2888 Long Beach Blvd, Suite 405, Long Beach, CA 90806-1551 |
| Dorothy M King | Physical Therapy | California Rehab and Sports Therapy | 2888 Long Beach Blvd, Suite 405, Long Beach, CA 90806-1551 |
| Venessa D Vigil | Occupational Therapy | California Rehab and Sports Therapy | 2888 Long Beach Blvd, Suite 405, Long Beach, CA 90806-1551 |
| Patrick W Willson | Occupational Therapy | California Rehab and Sports Therapy | 2888 Long Beach Blvd, Suite 405, Long Beach, CA 90806-1551 |
| Heather M Lien | Physical Therapy | California Rehabilitation and Sports Therapy | 2888 Long Beach Blvd, Suite 405, Long Beach, CA 90806-1551 |
| Find all physicians in zip 90806 | |||
| City | LONG BEACH |
| Zip Code | 90806 |
| Specialty | PODIATRY |
| City + Specialty | LONG BEACH + PODIATRY |
Please comment or provide details below to improve the information on Raymond M Bautista.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.