JEFFERSON AQUINO BAUTISTA (NP-BC) – Family Nurse Practitioner, NPI 1336218734

JEFFERSON AQUINO BAUTISTA (NP-BC) is a healthcare provider. based in Anaheim, California. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-BC. They hold a License No. 16338 (CA). The NPI Number for JEFFERSON AQUINO BAUTISTA (NP-BC) is 1336218734

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
JEFFERSON AQUINO BAUTISTA (NP-BC)
NPI
1336218734
Phone
(714) 577-2121
Address
PO BOX 15090
Enumeration Date
7 November 2006
Last Update Date
24 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7145738200
Graduation Year
2003 (23 years ago)
PAC ID
5092128892
Group Practice PAC ID
7911987961
Professional Enrollment ID
I20210118000613
Address ID
CA927803707TU13522AVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for JEFFERSON AQUINO BAUTISTA (NP-BC)

  • PO BOX 15090

    ANAHEIM, CA 928035090

    Phone: (714) 577-2121

    Fax: (714) 577-2125

    Type: Mailing

  • 1211 W LA PALMA AVE STE 404

    ANAHEIM, CA 928012806

    Phone: (714) 772-8282

    Fax: (714) 772-6493

    Type: Location

  • 3130, Harbor Boulevard, Santa Ana, Orange County, California, 92704, United States

    250

    SANTA ANA, CA 927046824

    Phone: (714) 619-8777

    Fax: (714) 619-8770

    Type: Location

  • 8324, Crescent Avenue, Buena Park, Orange County, California, 90620, United States

    BUENA PARK, CA 906204024

    Phone: (714) 827-0482

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-01-18

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
I20210118000613INurse PractitionerCATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4030$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2919$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 92803)

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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: 7911987961View full group profile
NameSpecialtyState
-CA
Internal MedicineCA
Internal MedicineCA
Internal MedicineCA
Nurse PractitionerCA
-CA
H O S P I T A L I S TCA
Nurse PractitionerCA
Nurse PractitionerCA
Internal MedicineCA

Reviews

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Frequently asked questions

Can I cross-check JEFFERSON AQUINO BAUTISTA (NP-BC) using NPI 1336218734?
NPI 1336218734 belongs to JEFFERSON AQUINO BAUTISTA (NP-BC); compare other details if you need extra assurance.
Is JEFFERSON AQUINO BAUTISTA (NP-BC) still an active registrant?
JEFFERSON AQUINO BAUTISTA (NP-BC) carries an active NPI according to the public dataset.
How would a patient describe JEFFERSON AQUINO BAUTISTA (NP-BC)'s focus?
For JEFFERSON AQUINO BAUTISTA (NP-BC), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with JEFFERSON AQUINO BAUTISTA (NP-BC)?
Directory geography for JEFFERSON AQUINO BAUTISTA (NP-BC) centers on Anaheim, California.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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