Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JORGE O BAUTISTA, PA
ActiveMR. JORGE O BAUTISTA, PA is a Physician Assistant healthcare provider located in FILLMORE, California. NPI 1336254705 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FILLMORE, CA
Registration Details
- NPI Number
- 1336254705
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 19, 2006 (19.802617469831 yrs)
- Last Updated
- Mar 1, 2024
- Licenses
-
PA15385 (CA)PA15385 (CA)
Practice Information
- Address
-
427 CENTRAL AVEFILLMORE, CA, 930151329Browse CA providers · Browse ZIP 93015
- Phone
- 8055242559
- Fax
- 8055242596
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in FILLMORE, CA
| Name | Credential | NPI |
|---|---|---|
| SENDI MARIA SANCHEZ | PA | 1528157807 |
| ELIASAR BENJAMIN MACIAS | PA | 1093997504 |
| MS. NATHALIE HERRERA | — | 1710699426 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.