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

Gabrielle Marie Bautista, PA-C

Individual provider Physician Assistant · NPI 1063291896

Gabrielle Marie Bautista, PA-C is a Physician Assistant in Canyon Country, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

19231 Soledad Canyon Rd
Canyon Country, CA 91351-3367
Phone: (661) 430-9040
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA63361 (CA)

Record details

NPI number1063291896
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 21, 2023
Last updated in NPPESFebruary 20, 2024
Certification dateFebruary 20, 2024

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