OrganizationActive
Cedric M. Bautista M.D., a Medical Corporation
NPI 1124392725 · Surgery Physician · El Centro, CA
Provider details
- NPI number
- 1124392725
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cedric Bautista, Owner(760) 353-6200
- License
- A37997 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1500 S Imperial Ave
El Centro, CA 92243-4241
Phone: (760) 353-6200
Fax: (760) 353-9817
Street-level locationGet directions
Mailing address
Po Box 2010
El Centro, CA 92244-2010
Registry dates
- Enumerated
- 2012-02-28
- Last updated
- 2012-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.