Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bautista Medical Group Southern California, Inc

Organization Family Medicine Physician · NPI 1629101340

Bautista Medical Group Southern California, Inc is a Family Medicine Physician in Fillmore, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2007
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

427 Central Ave
Fillmore, CA 93015
Phone: (805) 524-0777
Fax: (805) 524-0111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 991 W 7th St, Oxnard, CA 93030-6757 — (805) 483-7500

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A43293 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence PA15385 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence A97270 (CA)

Record details

NPI number1629101340
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jose Bautista — Internist · (805) 524-2559
NPI enumeratedMarch 13, 2007
Last updated in NPPESJanuary 31, 2023
Certification dateAugust 1, 2022
Mailing address427 Central Ave, Fillmore, CA 93015-1329

Other providers in Fillmore