Bautista Medical Group Southern California, Inc.
NPI 1629101340 · Family Medicine Physician · Fillmore, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bautista Medical Group Southern California, Inc. is a Family Medicine Physician organization in Fillmore, CA (NPI 1629101340).
Provider details
- NPI number
- 1629101340
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jose Bautista, Internist(805) 524-2559
- License
- PA15385 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 991 W 7th StOxnard, CA 93030-6757Phone: (805) 483-7500Fax: (805) 483-0500
Registry dates
- Enumerated
- 2007-03-13
- Last updated
- 2023-01-31
- Certified
- 2022-08-01
Frequently asked questions
- What is Bautista Medical Group Southern California, Inc.'s NPI number?
- Bautista Medical Group Southern California, Inc.'s National Provider Identifier (NPI) is 1629101340, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bautista Medical Group Southern California, Inc.?
- Bautista Medical Group Southern California, Inc. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Bautista Medical Group Southern California, Inc. located?
- Bautista Medical Group Southern California, Inc.'s practice location on file with NPPES is 427 Central Ave, Fillmore, CA 93015.
- What is Bautista Medical Group Southern California, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Bautista Medical Group Southern California, Inc. is (805) 524-0777.
- Does Bautista Medical Group Southern California, Inc. accept Medicare?
- Bautista Medical Group Southern California, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bautista Medical Group Southern California, Inc.?
- The authorized official listed on Bautista Medical Group Southern California, Inc.'s NPPES record is Jose Bautista, Internist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bautista Medical Group Southern California, Inc.'s NPI active?
- Yes — Bautista Medical Group Southern California, Inc.'s NPI (1629101340) is active in the NPPES registry as of the last update on 2023-01-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.