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

Individual provider Internal Medicine Physician · NPI 1528167723

Dr. Maria Corazon Bautista, MD is an Internal Medicine Physician in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11878 Avenue Of Industry
San Diego, CA 92128-3423
Phone: (858) 722-4779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A41768 (CA)

Record details

NPI number1528167723
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 22, 2006
Last updated in NPPESFebruary 24, 2020
Certification dateFebruary 24, 2020

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