RAYMUNDO S BAUTISTA, MD, PROF CORP
NPI 1023143427
Internal Medicine - Nephrology in Glendora, CA
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
Specialties & Licenses
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Raymundo S Bautista, Md, Prof Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Raymundo S Bautista, MD, Prof Corp, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
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.
Where is Raymundo S Bautista, MD, Prof Corp located?
Raymundo S Bautista, MD, Prof Corp is located at 118 W Foothill Blvd, Glendora, CA 91741. The listed phone number is (626) 914-3871.
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.
Is Raymundo S Bautista, MD, Prof Corp enrolled in Medicare?
Yes. Raymundo S Bautista, MD, Prof Corp is registered in the Medicare PECOS enrollment system.
When is Raymundo S Bautista, MD, Prof Corp's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Raymundo S Bautista, MD, Prof Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Raymundo S Bautista, MD, Prof Corp, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Raymundo S Bautista, MD, Prof Corp was last updated on August 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Raymundo S Bautista, Md, Prof Corp · NPI 1023143427
Nephrology organization in Glendora, California. Organization record, active in the CMS NPPES registry since February 23, 2007.
## Identity
- **NPI:** 1023143427 (Entity type: Organization)
- **Enumerated:** February 23, 2007
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Raymundo Bautista, PRESIDENT
## Practice location
- **Address:** 118 W FOOTHILL BLVD, Glendora, CA 91741-3364
- **Phone:** (626) 914-3871 · **Fax:** (626) 963-2816
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Internal Medicine (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 31, 2012
- **Other identifiers:** Other A52874 (CA); Medicare ID-Type Unspecified A52874 (CA); Medicaid 00A528740 (CA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1023143427) · Data from the CMS NPPES public registry.