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DR. NATHAN JOSEPH BAUTISTA DO
NPI 1033962600
Student in an Organized Health Care Education/Training Program in South Gate, CA

Active since April 11, 2024PECOS Enrolled
8627 ATLANTIC AVE, SOUTH GATE, CA 90280(323) 312-2605 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nathan Joseph Bautista Do NPPES

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

DR. NATHAN JOSEPH BAUTISTA DO (NPI 1033962600) is an individual student in an organized health care education/training program in South Gate, California and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033962600
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. NATHAN JOSEPH BAUTISTACredential: DO
Location Address8627 ATLANTIC AVESouth Gate, CA 90280-3501
Mailing Address8627 Atlantic AveSouth Gate, CA 90280-3501 · (323) 312-2605
Phone(323) 312-2605
Sole ProprietorNo
Enumeration DateApril 11, 2024
NPPES CertifiedApril 11, 2024
✔ NPI 1033962600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
8627 ATLANTIC AVE, South Gate, CA 90280
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nathan Joseph Bautista Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

MR. ANTHONY DELOVINO LISTA APRN-CNP, FNP-BC
Nurse Practitioner (Family)
8627 ATLANTIC AVE
SOUTH GATE, CA 90280
Los Angeles County (888) 499-9303
MEGHNA M DARA
Dentist (General Practice)
8627 ATLANTIC AVE
SOUTH GATE, CA 90280
Los Angeles County (888) 499-9303
DR. NICHOLAS PATRICK BLASINGAME DPM
Podiatrist (Foot & Ankle Surgery)
8627 ATLANTIC AVE
SOUTH GATE, CA 90280
Los Angeles County (877) 462-2582
DR. JOSHUA SOLER MD
Student in an Organized Health Care Education/Training Program
8627 ATLANTIC AVE
SOUTH GATE, CA 90280
Los Angeles County (323) 312-2605
STEPHANIE GALILEA BANUELOS CHAVEZ DDS
Dentist
8627 ATLANTIC AVE
SOUTH GATE, CA 90280
Los Angeles County (888) 499-9303
MRS. MADOKA ARAI BARRIENTOS N.P.
Nurse Practitioner (Family)
8627 ATLANTIC AVE
SOUTH GATE, CA 90280
Los Angeles County (888) 499-9303
LILIANA FLORES
Case Manager/Care Coordinator
8627 ATLANTIC AVE
SOUTH GATE, CA 90280
Los Angeles County (323) 312-2640
DR. NAYANA BHASKAR MD
Student in an Organized Health Care Education/Training Program
8627 ATLANTIC AVE
SOUTH GATE, CA 90280
Los Angeles County (323) 312-2605

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 Nathan Bautista's NPI number?

The NPI number for Nathan Bautista is 1033962600. It was assigned to this individual provider in the NPPES registry on April 11, 2024.

Where is Nathan Bautista located?

Nathan Bautista practices at 8627 Atlantic Ave, South Gate, CA 90280. The listed phone number is (323) 312-2605.

What is Nathan Bautista's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nathan Bautista enrolled in Medicare?

Yes. Nathan Bautista is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nathan Bautista was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.