Search › California › 363LA2100X
Michael Bautista
NPI 1659210656 · on the registry since 2026 · sole proprietor
Practice
- Address
- 1054 Park Meadows Rd
Chula Vista, CA 91915 - Phone
- (619) 988-0357
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California