MEDICARE: DR. RAYMOND M BAUTISTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0000X	Sports Medicine Podiatrist	E4157	CA

General Provider Information

NPI Number	:	1043265549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAYMOND M BAUTISTA

Provider Business Mailing Address
First Line	:	701 E 28TH ST
Second Line	:	SUITE 111
City	:	LONG BEACH
State	:	CA
Zip	:	90806-2759
Country	:	US
Telephone Number	:	562-426-2551
Fax Number	:	562-988-0610

Provider Business Practice Location Address
First Line	:	701 E 28TH ST
Second Line	:	SUITE 111
City	:	LONG BEACH
State	:	CA
Zip	:	90806-2759
Country	:	US
Telephone Number	:	562-426-2551
Fax Number	:	562-988-0610

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	09/26/2013

Similar Medicare Providers

1144201138 — MS. PATRICIA J GAMBOL APNG
Practice Location Address:

701 E 28TH ST , SUITE 412
LONG BEACH, CA
90806-2759

Practice Phone: 562-933-7874
Practice Fax:

1285694018 — ROBERT ALAN NAGOURNEY M.D.
Practice Location Address:

701 E 28TH ST
LONG BEACH, CA
90806-2759

Practice Phone: 562-989-6455
Practice Fax: 562-989-8160

1629028048 — DR. NAYYER ALI M.D.
Practice Location Address:

701 E 28TH ST , STE 400
LONG BEACH, CA
90806-2759

Practice Phone: 562-424-6040
Practice Fax: 562-427-2565

1700837457 — MICHAEL B. STRAUSS MD
Practice Location Address:

701 E 28TH ST , SUITE 416
LONG BEACH, CA
90806-2759

Practice Phone: 562-427-5823
Practice Fax: 562-427-2255

1851343081 — GRETCHEN STIPEC M.D.
Practice Location Address:

701 E 28TH ST , STE 200
LONG BEACH, CA
90806-2759

Practice Phone: 562-933-7880
Practice Fax: 562-933-7869

1770538373 — MATTHEW HIEU NGUYEN D.P.M.
Practice Location Address:

701 E 28TH ST , SUITE 111
LONG BEACH, CA
90806-2759

Practice Phone: 562-426-2551
Practice Fax: 562-988-0610

Directions to “ DR. RAYMOND M BAUTISTA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.