RAYMUNDO S BAUTISTA, MD, PROF CORP
NPI 1023143427
Internal Medicine - Nephrology in Glendora, CA

Q: What is Raymundo S Bautista, MD, Prof Corp's NPI number?

The NPI number for Raymundo S Bautista, MD, Prof Corp is 1023143427. It was assigned to this organization in the NPPES registry on February 23, 2007.

Q: What is Raymundo S Bautista, MD, Prof Corp's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since February 23, 2007

118 W FOOTHILL BLVD, GLENDORA, CA 91741(626) 914-3871(626) 963-2816 Get Directions Write a Review

NPPES record last updated: August 31, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Raymundo S Bautista, Md, Prof Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAYMUNDO S BAUTISTA, MD, PROF CORP (NPI 1023143427) is a healthcare organization registered as a nephrology in Glendora, California and active in the NPI registry since February 2007. The organization lists Raymundo Sevilla Bautista, President, as its authorized official.

NPPES Registry Identity

NPI1023143427

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameRAYMUNDO S BAUTISTA, MD, PROF CORP

Location Address118 W FOOTHILL BLVDGlendora, CA 91741-3364

Mailing Address118 W Foothill BlvdGlendora, CA 91741-3364 · (626) 914-3871 · Fax (626) 963-2816

Phone(626) 914-3871

Fax(626) 963-2816

Organization SubpartNo

Authorized OfficialRaymundo Sevilla BautistaPresident · (626) 914-3871

Enumeration DateFebruary 23, 2007

Last NPPES UpdateAugust 31, 2012

✔ NPI 1023143427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in CA · A52874

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

118 W FOOTHILL BLVD, Glendora, CA 91741

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Other Identifiers 4

OtherA52874CA · Pres. Medical State Lic#

Medicare ID-Type UnspecifiedA52874CA · Pres. Mcare Id#

Medicaid00A528740CA

Medicare UPING39705CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRANKLIN G CABEBE M D INC

Internal Medicine (Nephrology)