MARIA C BAUTISTA MD INC
NPI 1215036462
Internal Medicine in San Diego, CA

Q: What is Maria C Bautista MD Inc's NPI number?

The NPI number for Maria C Bautista MD Inc is 1215036462. It was assigned to this organization in the NPPES registry on September 22, 2006.

Q: What is Maria C Bautista MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since September 22, 2006

11878 AVENUE OF INDUSTRY, SAN DIEGO, CA 92128(858) 722-4779 Get Directions Write a Review

NPPES record last updated: February 24, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 24, 2020, Jul 14, 2017, Jul 9, 2017 (3 updates tracked since 2017).

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About Maria C Bautista Md Inc NPPES

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

MARIA C BAUTISTA MD INC (NPI 1215036462) is a healthcare organization registered as an internal medicine in San Diego, California and active in the NPI registry since September 2006. The organization lists Maria Corazon Bautista, President, as its authorized official.

NPPES Registry Identity

NPI1215036462

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameMARIA C BAUTISTA MD INC

Location Address11878 AVENUE OF INDUSTRYSan Diego, CA 92128-3423

Mailing AddressPo Box 1770La Mesa, CA 91944-1770 · (858) 722-4779

Phone(858) 722-4779

Organization SubpartNo

Authorized OfficialMaria Corazon BautistaPresident · (858) 722-4779

Enumeration DateSeptember 22, 2006

Last NPPES UpdateFebruary 24, 20203 updates tracked since enumeration

✔ NPI 1215036462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A41768

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

11878 AVENUE OF INDUSTRY, San Diego, CA 92128

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Other Identifiers 1

Medicaid00A417680CA

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maria C Bautista Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Maria C Bautista MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Maria Bautista, M.D.

Internal Medicine

NPI 1528167723

11878 AVENUE OF INDUSTRY
San Diego, CA 92128

(858) 722-4779

✔ PECOSSame address

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 Maria C Bautista MD Inc's NPI number?

The NPI number for Maria C Bautista MD Inc is 1215036462. It was assigned to this organization in the NPPES registry on September 22, 2006.

Where is Maria C Bautista MD Inc located?

Maria C Bautista MD Inc is located at 11878 Avenue Of Industry, San Diego, CA 92128. The listed phone number is (858) 722-4779.

What is Maria C Bautista MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Maria C Bautista MD Inc enrolled in Medicare?

Yes. Maria C Bautista MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Maria C Bautista MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Maria C Bautista MD Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Maria C Bautista MD Inc was last updated on February 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.