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

Jefferson Aquino Bautista, NP-BC

Individual provider Family Nurse Practitioner · NPI 1336218734

Jefferson Aquino Bautista, NP-BC is a Nurse Practitioner in Anaheim, California. Qualified in 2003, 23 years ago. Practices with Chest and Critical Care Consultants a Medical Group, a 72-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
23
Licensed in
CA
In the registry since
2006
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1211 W La Palma Ave Ste 404
Anaheim, CA 92801-2806
Phone: (714) 772-8282
Fax: (714) 772-6493
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 16338 (CA)

Record details

NPI number1336218734
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-BC
Sole proprietorNo
NPI enumeratedNovember 7, 2006
Last updated in NPPESDecember 24, 2020
Certification dateDecember 24, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Chest And Critical Care Consultants A Medical Group — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Anaheim