MR. JORGE O BAUTISTA (PA) – Physician Assistant, NPI 1336254705

MR. JORGE O BAUTISTA (PA) is a healthcare provider. based in Oxnard, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA15385 (CA). The NPI Number for MR. JORGE O BAUTISTA (PA) is 1336254705

Main info

Male
28 Years Of Experience
Name
MR. JORGE O BAUTISTA (PA)
NPI
1336254705
Phone
(805) 483-7500
Address
991 W 7th St
Enumeration Date
19 August 2006
Last Update Date
1 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8055242559
Graduation Year
1998 (28 years ago)
PAC ID
8224083423
Professional Enrollment ID
I20080227000569
Address ID
CA930151329FI427XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

10,564 PHYSICIAN ASSISTANT in CA

Provider Addresses for MR. JORGE O BAUTISTA (PA)

  • 991 W 7th St

    Oxnard, CA 930306757

    Phone: (805) 483-7500

    Fax: (805) 485-0500

    Type: Location

  • 427, Central Avenue, Fillmore, Ventura County, California, 93015, United States

    FILLMORE, CA 930151329

    Phone: (805) 524-2559

    Fax: (805) 524-2596

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 111 Open Payments records for all available years, with a total value of $2,250.

Total Amount is formed as General ($2,250) + Research ($0) + Ownership ($0) = $2,250.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($1,023).

Total Amount

$2,250

General + Research + Ownership

Payments

111

Total payment records

General Amount

$2,250

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

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: 2008-02-27

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
I20080227000569IPhysician AssistantCATBD

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
99442Telephone medical discussion with physician, 11-20 minutes571170$0
99213Established patient office or other outpatient visit, 20-29 minutes270135$0
99214Established patient office or other outpatient visit, 30-39 minutes3626$0
81002Urinalysis, manual test2722$0
View full utilization report →

Insurance plans in this area (ZIP 93030)

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Provider's Procedures

MR. JORGE O BAUTISTA (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTCA81002Urinalysis, manual test5437

Reviews

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Frequently asked questions

What NPI should I save for MR. JORGE O BAUTISTA (PA)?
Save NPI 1336254705 if you need a stable reference for MR. JORGE O BAUTISTA (PA).
Does this profile mean MR. JORGE O BAUTISTA (PA) is currently active?
Yes — MR. JORGE O BAUTISTA (PA) appears active in the national provider directory.
What does MR. JORGE O BAUTISTA (PA) treat or focus on?
Patients typically see MR. JORGE O BAUTISTA (PA) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for MR. JORGE O BAUTISTA (PA)?
We surface Oxnard, California for MR. JORGE O BAUTISTA (PA) based on available NPPES addresses.
Is MR. JORGE O BAUTISTA (PA) a real provider?
This page reflects official NPPES data for NPI 1336254705. Always confirm identity and privileges with the practice and licensing boards.

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