Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. MARIE ANGELA M BAUTISTA MS, PA-C
NPI 1225258445
Physician Assistant in San Diego, CA

Q: What is Marie Angela Bautista's NPI number?

The NPI number for Marie Angela Bautista is 1225258445. It was assigned to this individual provider in the NPPES registry on April 27, 2007. The provider is also known as Angela Bautista.

Q: What is Marie Angela Bautista's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since April 27, 2007PECOS EnrolledAccepts Medicare Assignment

200 W ARBOR DR, MC 8892, SAN DIEGO, CA 92103(619) 543-7777(619) 543-2652 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 10, 2026, Jul 20, 2018, Sep 13, 2017 (3 updates tracked since 2017).

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About Ms. Marie Angela M Bautista Ms, Pa-c NPPES

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

MS. MARIE ANGELA M BAUTISTA MS, PA-C (NPI 1225258445) is an individual physician assistant in San Diego, California, licensed in California (PA18241) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1225258445

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. MARIE ANGELA M BAUTISTACredential: MS, PA-C

Location Address200 W ARBOR DR, MC 8892San Diego, CA 92103

Mailing AddressFile 57326Los Angeles, CA 90074-7326 · (800) 926-8273

Phone(619) 543-7777

Fax(619) 543-2652

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateApril 27, 2007

Last NPPES UpdateJuly 10, 20263 updates tracked since enumeration

NPPES CertifiedJuly 10, 2026

✔ NPI 1225258445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA18241

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

200 W ARBOR DR, San Diego, CA 92103

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Other Names 1

Other Name (5)Angela Bautista

Secondary Practice Locations 2

Location 19300 Campus Point DrLA Jolla, CA 92037-1300 · Phone (800) 926-8273

Location 29434 Medical Center DrLA Jolla, CA 92037-1337 · Phone (800) 926-8273

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Marie Angela M Bautista Ms, Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406911502

PECOS Enrollment IDI20090224000141

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$904.14 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$57.84 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. RAMIN MOTARJEMI M.D.

Internal Medicine (Geriatric Medicine)