RAYMOND BAUTISTA DPM INC NPI 1619553591

NPI Information

  • NPI: 1619553591
  • Provider Name: RAYMOND BAUTISTA DPM, INC
  • Classification: Podiatrist - 213EP1101X
  • Specialization: Primary Podiatric Medicine
  • Entity Type: Organization
  • Address: 701 E 28TH ST STE 111
    LONG BEACH, CA
    ZIP 90806
  • Phone: (562) 269-0300

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NPI Details

RAYMOND BAUTISTA DPM, INC is a primary podiatric medicine podiatrist in Long Beach, CA. RAYMOND BAUTISTA DPM, INC NPI is 1619553591. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

701 E 28TH ST STE 111
LONG BEACH, CA
ZIP 90806-715
Phone: (562) 269-0300

The provider's authorized official is Raymond Bautista .
The authorized official title is Medical Director and has the following contact phone number (562) 269-0300.

The enumeration date for this NPI number is 3/22/2021 and was last updated on 3/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ER0200XPodiatristRadiologyNo
2213ES0103XPodiatristFoot & Ankle SurgeryNo
3213EP1101XPodiatristPrimary Podiatric MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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