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MR. JORGE O BAUTISTA PA
NPI 1336254705
Physician Assistant in Fillmore, CA

Active since August 19, 2006PECOS Enrolled
427 CENTRAL AVE, FILLMORE, CA 93015(805) 524-2559(805) 524-2596 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2020, Apr 10, 2020, Aug 29, 2018 and 1 more (4 updates tracked since 2018).

About Mr. Jorge O Bautista Pa NPPES

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

MR. JORGE O BAUTISTA PA (NPI 1336254705) is an individual physician assistant in Fillmore, California, licensed in California (PA15385) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Oxnard, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1336254705
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JORGE O BAUTISTACredential: PA
Location Address427 CENTRAL AVEFillmore, CA 93015-1329
Mailing Address427 Central AveFillmore, CA 93015-1329 · (805) 524-2559 · Fax (805) 524-2596
Phone(805) 524-2559
Fax(805) 524-2596
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateAugust 19, 2006
Last NPPES UpdateMarch 1, 20244 updates tracked since enumeration
NPPES CertifiedMarch 1, 2024
✔ NPI 1336254705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA15385
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License PA15385 (CA)
427 CENTRAL AVE, Fillmore, CA 93015
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Secondary Practice Location 1

Location 1991 W 7th StOxnard, CA 93030-6757 · Phone (805) 483-7500 · Fax (805) 485-0500

Other Identifiers 1

MedicaidGR0063042CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jorge O Bautista Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224083423
PECOS Enrollment IDI20080227000569
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
495 services167 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
190 services113 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
94 services66 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
42 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93015 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$77.11 typical visit price
range $20.68 – $151.85
Typical copayment $19.27 (range $5.17 – $37.96)
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 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers45 claims107 services$6.12 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers14 claims14 services$2.53 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers29 claims43 services$0.98 avg. paid by Medicare
Rollabout chair, any and all types with casters 5" or greater E1031
DME-Wheelchairs · category DD000N
1 supplier16 claims16 services$24.86 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
2 suppliers12 claims14 services$57.68 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
5 suppliers18 claims1,080 services$0.09 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 3

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

ELIASAR BENJAMIN MACIAS PA
Physician Assistant
427 CENTRAL AVE
FILLMORE, CA 93015
Ventura County (805) 524-2559
QUIK CARE MEDICAL INC
Clinic/Center (Primary Care)
427 CENTRAL AVE
FILLMORE, CA 93015
Ventura County (805) 524-2559
BAUTISTA MEDICAL GROUP SOUTHERN CALIFORNIA, INC.
Family Medicine
427 CENTRAL AVE
FILLMORE, CA 93015
Ventura County (805) 524-0777

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 Jorge Bautista's NPI number?

The NPI number for Jorge Bautista is 1336254705. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Jorge Bautista located?

Jorge Bautista practices at 427 Central Ave, Fillmore, CA 93015. The listed phone number is (805) 524-2559.

What is Jorge Bautista's specialty?

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

Is Jorge Bautista enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jorge Bautista was last updated on March 1, 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.