BRIAN GLENN BAUTISTA MD
NPI 1609924562
Family Medicine in Fontana, CA
About Brian Glenn Bautista Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIAN GLENN BAUTISTA MD (NPI 1609924562) is an individual family medicine provider in Fontana, California, licensed in California (A85008) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2002).
NPPES Registry Identity
Specialties & Licenses
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
Brian Glenn Bautista Md 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92335 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FONTANA, CA 92335
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 Brian Bautista's NPI number?
The NPI number for Brian Bautista is 1609924562. It was assigned to this individual provider in the NPPES registry on January 8, 2007.
Where is Brian Bautista located?
Brian Bautista practices at 9961 Sierra Ave, Fontana, CA 92335. The listed phone number is (909) 427-3910.
What is Brian Bautista's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Brian Bautista enrolled in Medicare?
Yes. Brian 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 Brian 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.
# Brian Glenn Bautista, MD · NPI 1609924562
Family Medicine physician in Fontana, California. Individual provider, active in the CMS NPPES registry since January 8, 2007.
## Identity
- **NPI:** 1609924562 (Entity type: Individual)
- **Enumerated:** January 8, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A85008 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 9961 SIERRA AVE, Fontana, CA 92335-6720
- **Phone:** (909) 427-3910
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Loma Linda University School Of Medicine, class of 2002
## Record status
- **NPPES last updated:** November 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1609924562) · Data from the CMS NPPES public registry.