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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1548965957

Luis Oscar Bautista, MD is a Student in an Organized Health Care Education/Training Program in Riverside, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
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

14350 Meridian Pkwy Ste 2
Riverside, CA 92518-3035
Phone: (909) 910-8855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence A197498 (CA)

Record details

NPI number1548965957
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 4, 2023
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026

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