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MARIVIC A BAUTISTA MD
NPI 1760680243
Family Medicine - Adult Medicine in Los Angeles, CA

Active since July 06, 2007PECOS Enrolled
5427 WHITTIER BLVD, LOS ANGELES, CA 90022(888) 499-9303 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marivic A Bautista Md NPPES

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

MARIVIC A BAUTISTA MD (NPI 1760680243) is an individual adult medicine provider in Los Angeles, California, licensed in California (A100478) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760680243
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameMARIVIC A BAUTISTACredential: MD
Location Address5427 WHITTIER BLVDLos Angeles, CA 90022-4101
Mailing Address5427 Whittier BlvdLos Angeles, CA 90022-4101 · (888) 499-9303
Phone(888) 499-9303
Sole ProprietorYes
Enumeration DateJuly 6, 2007
Last NPPES UpdateApril 4, 2024
NPPES CertifiedApril 4, 2024
✔ NPI 1760680243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in CA · A100478
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
5427 WHITTIER BLVD, Los Angeles, CA 90022
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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 (PECOS)

Marivic A Bautista Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90022 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers35 claims95 services$4.92 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
13 suppliers29 claims36 services$0.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MS. NORMA PEREZ MD
Pediatrics
5427 WHITTIER BLVD
LOS ANGELES, CA 90022
Los Angeles County (323) 869-1900
KENNETH JARANTILLA PA-C
Physician Assistant
5427 WHITTIER BLVD
LOS ANGELES, CA 90022
Los Angeles County (323) 869-1900
XIOMARA LIZZETTE VLAHOS M.D.
Family Medicine
5427 WHITTIER BLVD
LOS ANGELES, CA 90022
Los Angeles County (323) 869-1900
LEANNA KIMBERLY WONOPRABOWO MD
Family Medicine
5427 WHITTIER BLVD
LOS ANGELES, CA 90022
Los Angeles County (888) 499-9303
JON MANUEL AYALA
Counselor (Mental Health)
5427 WHITTIER BLVD
LOS ANGELES, CA 90022
Los Angeles County (888) 499-9303
ALTAMED HEALTH SERVICES CORP
Clinic/Center (Family Planning, Non-Surgical)
5427 WHITTIER BLVD
E. LOS ANGELES, CA 90022
Los Angeles County (323) 869-1900
SANKET PATEL DO
Family Medicine (Sports Medicine)
5427 WHITTIER BLVD
LOS ANGELES, CA 90022
Los Angeles County (888) 499-9303
JILLIAN MARIE JOHNSON
Social Worker (Clinical)
5427 WHITTIER BLVD
LOS ANGELES, CA 90022
Los Angeles County (323) 869-1900

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 Marivic Bautista's NPI number?

The NPI number for Marivic Bautista is 1760680243. It was assigned to this individual provider in the NPPES registry on July 6, 2007.

Where is Marivic Bautista located?

Marivic Bautista practices at 5427 Whittier Blvd, Los Angeles, CA 90022. The listed phone number is (888) 499-9303.

What is Marivic Bautista's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Marivic Bautista enrolled in Medicare?

Yes. Marivic Bautista is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marivic Bautista was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.