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

Mr. Jorge O Bautista, PA

Individual provider Family Medicine Physician · NPI 1336254705

Mr. Jorge O Bautista, PA is a Physician Assistant in Fillmore, California. Qualified in 1998, 28 years ago. Works from 2 locations and offers telehealth. Licensed in California.

Years since qualifying
28
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

427 Central Ave
Fillmore, CA 93015-1329
Phone: (805) 524-2559
Fax: (805) 524-2596
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

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA15385 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence PA15385 (CA)

Record details

NPI number1336254705
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 19, 2006
Last updated in NPPESMarch 1, 2024
Certification dateMarch 1, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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