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GEOANNA MARIE S BAUTISTA M.D.
NPI 1427444769
Pediatrics - Neonatal-Perinatal Medicine in Sacramento, CA

Active since April 14, 2015PECOS Enrolled
2516 STOCKTON BLVD, SACRAMENTO, CA 95817(916) 734-3891(916) 456-2236 Get Directions Write a Review

NPPES record last updated: April 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Geoanna Marie S Bautista M.d. NPPES

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

GEOANNA MARIE S BAUTISTA M.D. (NPI 1427444769) is an individual neonatal-perinatal medicine provider in Sacramento, California, licensed in California (A155189) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Maywood.

NPPES Registry Identity

NPI1427444769
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameGEOANNA MARIE S BAUTISTACredential: M.D.
Location Address2516 STOCKTON BLVDSacramento, CA 95817-2208
Mailing Address2516 Stockton BlvdSacramento, CA 95817-2208 · (916) 734-3891 · Fax (916) 456-2236
Phone(916) 734-3891
Fax(916) 456-2236
Sole ProprietorYes
Enumeration DateApril 14, 2015
Last NPPES UpdateApril 2, 2021
NPPES CertifiedApril 2, 2021
✔ NPI 1427444769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in CA · A155189
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 125067243 (IL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2516 STOCKTON BLVD, Sacramento, CA 95817
Open in Google Maps ↗

Secondary Practice Location 1

Location 12160 S 1st Ave, Department of PediatricsMaywood, IL 60153-3328 · Phone (708) 327-9124 · Fax (708) 327-9111

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Geoanna Marie S Bautista M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Geoanna Marie Bautista reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regents Of The University Of Ca
0.1 mi
Pediatric Critical Care Medicine
2521 STOCKTON BLVD
Sacramento, CA 95817
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Regents Of The Univ Of Ca
  • 2,570 clinicians in this Medicare group
NPI 1104815067 (916) 734-3179

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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. MADHU SHARMA MD
Pediatrics (Pediatric Cardiology)
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-4572
LENA CLAIRE VAN DER LIST D.O.
Pediatrics
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-2428
NATALIE ALBASHA MD
Allergy & Immunology
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-2274
ALISON MY LAM M.D.
Pediatrics
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-3665
DR. ELIZABETH PARTRIDGE M.D.
Pediatrics (Pediatric Infectious Diseases)
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (510) 428-4337
SAMANTHA ELISE ELLINWOOD AUMAN M.D.
Student in an Organized Health Care Education/Training Program
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-2428
SARA BRUNDAGE DO
Pediatrics
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-3665
DR. JEANNY KIM PARK M.D.
Pediatrics (Pediatric Cardiology)
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-3589

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 Geoanna Marie Bautista's NPI number?

The NPI number for Geoanna Marie Bautista is 1427444769. It was assigned to this individual provider in the NPPES registry on April 14, 2015.

Where is Geoanna Marie Bautista located?

Geoanna Marie Bautista practices at 2516 Stockton Blvd, Sacramento, CA 95817. The listed phone number is (916) 734-3891.

What is Geoanna Marie Bautista's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Geoanna Marie Bautista enrolled in Medicare?

Yes. Geoanna Marie Bautista is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Geoanna Marie Bautista's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Geoanna Marie Bautista reassigns Medicare benefits to Regents Of The University Of Ca (Sacramento, CA). The 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 Geoanna Marie Bautista's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Geoanna Marie Bautista was last updated on April 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.