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RICHELLE PILI BAUTISTA-AZORES M.D.
NPI 1619943024
Pediatrics in Ridgecrest, CA

Active since February 24, 2006PECOS Enrolled
1111 N CHINA LAKE BLVD STE 501, RIDGECREST, CA 93555(760) 499-3846(760) 499-3832 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 14, 2021, Jan 25, 2019, Jan 30, 2017 (3 updates tracked since 2017).

About Richelle Pili Bautista-azores M.d. NPPES

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

RICHELLE PILI BAUTISTA-AZORES M.D. (NPI 1619943024) is an individual pediatrics provider in Ridgecrest, California, licensed in North Dakota (PT 12429) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1619943024
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameRICHELLE PILI BAUTISTA-AZORESCredential: M.D.
Location Address1111 N CHINA LAKE BLVD STE 501Ridgecrest, CA 93555
Mailing Address1081 N China Lake BlvdRidgecrest, CA 93555-3130 · (760) 499-3899 · Fax (760) 499-3933
Phone(760) 499-3846
Fax(760) 499-3832
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateFebruary 24, 2006
Last NPPES UpdateMay 14, 20213 updates tracked since enumeration
NPPES CertifiedMay 14, 2021
✔ NPI 1619943024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in ND · PT 12429✔ Licensed in WA · MD00041126
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1111 N CHINA LAKE BLVD STE 501, Ridgecrest, CA 93555
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Other Identifiers 2

Medicaid17047ND
Medicaid1117852WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richelle Pili Bautista-azores M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709033673
PECOS Enrollment IDI20251118002233
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 Richelle Bautista-azores reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Los Angeles Auditor Controller
70 mi
Clinic/Center
335 E AVENUE I
Lancaster, CA 93535
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: County Of Los Angeles
  • 435 clinicians in this Medicare group
NPI 1366453045 (661) 948-8581

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93555 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
$91.09 typical visit price
range $59.26 – $178.09
Typical copayment $22.77 (range $14.81 – $44.52)
Most-billed visit code 99203
Established Patient
$104.09 typical visit price
range $19.34 – $145.64
Typical copayment $26.02 (range $4.83 – $36.41)
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.

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 Richelle Bautista-azores's NPI number?

The NPI number for Richelle Bautista-azores is 1619943024. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is Richelle Bautista-azores located?

Richelle Bautista-azores practices at 1111 N China Lake Blvd Ste 501, Ridgecrest, CA 93555. The listed phone number is (760) 499-3846.

What is Richelle Bautista-azores's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Richelle Bautista-azores enrolled in Medicare?

Yes. Richelle Bautista-azores is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Richelle Bautista-azores's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richelle Bautista-azores reassigns Medicare benefits to County Of Los Angeles Auditor Controller (Lancaster, 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 Richelle Bautista-azores'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 Richelle Bautista-azores was last updated on May 14, 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.