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MR. JOHN CARBONELL BAUTISTA M.D.
NPI 1437593878
Internal Medicine in Loma Linda, CA

Active since April 27, 2013PECOS EnrolledAccepts Medicare Assignment
11092 ANDERSON ST, LOMA LINDA, CA 92350(909) 558-4222 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 29, 2021, Dec 29, 2020 (2 updates tracked since 2020).

About Mr. John Carbonell Bautista M.d. NPPES

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

MR. JOHN CARBONELL BAUTISTA M.D. (NPI 1437593878) is an individual internal medicine provider in Loma Linda, California, licensed in Utah (192612760) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (2013).

NPPES Registry Identity

NPI1437593878
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. JOHN CARBONELL BAUTISTACredential: M.D.
Location Address11092 ANDERSON STLoma Linda, CA 92350-1706
Mailing Address4647 Zion AveSan Diego, CA 92120-2507 · (619) 528-5435
Phone(909) 558-4222
Sole ProprietorYes
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2013
Enumeration DateApril 27, 2013
Last NPPES UpdateNovember 29, 20212 updates tracked since enumeration
NPPES CertifiedNovember 29, 2021
✔ NPI 1437593878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in UT · 192612760
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.
11092 ANDERSON ST, Loma Linda, CA 92350
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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 and accepts Medicare assignment

Mr. John Carbonell Bautista M.d. 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 ID4789970070
PECOS Enrollment IDI20160913001698
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 92350 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

HYUN JI SOPHIA KANG DDS
Dentist (Endodontics)
11092 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4681
DR. JONATHAN ROBERT CHANNER DDS
Dentist
11092 ANDERSON ST, DEPARTMENT OF DENTAL ANESTHESIA
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4611
YEKTA JASMINE ASADI
Dentist
11092 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (949) 878-8979
DR. JUDY HIYOUNG KANG DDS
Dentist
11092 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4000
SAMIR GWALANI DDS
Student in an Organized Health Care Education/Training Program
11092 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4000
YU-CHEN CHENG
Dentist (Pediatric Dentistry)
11092 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4222
DR. JUSTIN KEITH TERRILL D.D.S.
Dentist
11092 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4222
DR. MEL-ANIZI ABANTE BERSABA DDS
Dentist (General Practice)
11092 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-8187

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 John Bautista's NPI number?

The NPI number for John Bautista is 1437593878. It was assigned to this individual provider in the NPPES registry on April 27, 2013.

Where is John Bautista located?

John Bautista practices at 11092 Anderson St, Loma Linda, CA 92350. The listed phone number is (909) 558-4222.

What is John Bautista's specialty?

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

Is John Bautista enrolled in Medicare?

Yes. John Bautista is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for John Bautista was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.