DR. NORMAN C. BAUTISTA (M.D.) – Surgery Physician, NPI 1134224066

DR. NORMAN C. BAUTISTA (M.D.) is a healthcare provider. based in Los angeles, California. specializing in GENERAL SURGERY, VASCULAR SURGERY. They hold the professional credentials M.D.. They hold a License No. A60200 (CA). The NPI Number for DR. NORMAN C. BAUTISTA (M.D.) is 1134224066

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. NORMAN C. BAUTISTA (M.D.)
NPI
1134224066
Phone
(323) 663-0465
Address
711 W COLLEGE ST
Enumeration Date
14 September 2006
Last Update Date
15 August 2017

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
6264576333
Graduation Year
1994 (32 years ago)
PAC ID
1759283435
Group Practice PAC ID
6608779160
Professional Enrollment ID
I20040122001216
Address ID
CA917481383CI18575AVEX368
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,317 GENERAL SURGERY in CA

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Provider Addresses for DR. NORMAN C. BAUTISTA (M.D.)

  • 711, West College Street, Naud Junction, Chinatown, Los Angeles, Los Angeles County, California, 90012, United States

    STE 203

    LOS ANGELES, CA 900123177

    Phone: (323) 663-0465

    Fax: (323) 953-6718

    Type: Mailing

  • 1848, North Alvarado Street, Echo Park, Los Angeles, Los Angeles County, California, 90026, United States

    LOS ANGELES, CA 900261781

    Phone: (323) 663-0465

    Fax: (323) 953-6718

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $187.

Total Amount is formed as General ($187) + Research ($0) + Ownership ($0) = $187.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Organogenesis Inc. ($68).

Total Amount

$187

General + Research + Ownership

Payments

6

Total payment records

General Amount

$187

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-01-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040122001216IGeneral SurgeryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2615$0
99203New patient office or other outpatient visit, 30-44 minutes1616$0
47562Removal of gallbladder using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 90012)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608779160View full group profile

Reviews

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Frequently asked questions

How do I look up DR. NORMAN C. BAUTISTA (M.D.) by NPI?
Use NPI 1134224066 when you need to reference DR. NORMAN C. BAUTISTA (M.D.) in forms, claims, or directories.
Is DR. NORMAN C. BAUTISTA (M.D.) active in the national directory?
DR. NORMAN C. BAUTISTA (M.D.)'s public NPI profile is in an active state.
Does DR. NORMAN C. BAUTISTA (M.D.) list a primary specialty?
If you are matching referrals, note Surgery Physician for DR. NORMAN C. BAUTISTA (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. NORMAN C. BAUTISTA (M.D.)?
The snapshot lists Los Angeles, California for DR. NORMAN C. BAUTISTA (M.D.); download NPPES for the complete set.
Is DR. NORMAN C. BAUTISTA (M.D.) a real provider?
This page reflects official NPPES data for NPI 1134224066. Always confirm identity and privileges with the practice and licensing boards.

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