LUIS OSCAR BAUTISTA MD
NPI 1548965957
Student in an Organized Health Care Education/Training Program in Riverside, CA

Active since April 04, 2023
14350 MERIDIAN PKWY STE 2, RIVERSIDE, CA 92518(909) 910-8855 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 25, 2023, Apr 4, 2023 (2 updates tracked since 2023).

About Luis Oscar Bautista Md NPPES

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

LUIS OSCAR BAUTISTA MD (NPI 1548965957) is an individual student in an organized health care education/training program in Riverside, California, licensed in California (A197498) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1548965957
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLUIS OSCAR BAUTISTACredential: MD
Location Address14350 MERIDIAN PKWY STE 2Riverside, CA 92518-3035
Mailing Address14350 Meridian Pkwy Ste 2Riverside, CA 92518-3035 · (909) 910-8855
Sole ProprietorYes
Enumeration DateApril 4, 2023
Last NPPES UpdateJune 18, 20262 updates tracked since enumeration
NPPES CertifiedJune 18, 2026
NPI 1548965957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in CA · A197498
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
14350 MERIDIAN PKWY STE 2, Riverside, CA 92518

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 Luis Bautista's NPI number?

The NPI number for Luis Bautista is 1548965957. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Where is Luis Bautista located?

Luis Bautista practices at 14350 Meridian Pkwy Ste 2, Riverside, CA 92518. The listed phone number is (909) 910-8855.

What is Luis Bautista's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Luis Bautista was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.