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

MS. Marie Angela M Bautista, MS, PA-C

Individual provider Physician Assistant · NPI 1225258445

MS. Marie Angela M Bautista, MS, PA-C is a Physician Assistant in San Diego, California. Qualified in 2005, 21 years ago. Practices with Regents of the University of California, a 2,061-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
21
Licensed in
CA
In the registry since
2007
What do these letters mean?
MS — Master of Science
A graduate science degree.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

200 W Arbor Dr Mc 8892
San Diego, CA 92103
Phone: (619) 543-7777
Fax: (619) 543-2652
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (2)

  • 9434 Medical Center Dr, La Jolla, CA 92037-1337 — (800) 926-8273
  • 9300 Campus Point Dr, La Jolla, CA 92037-1300 — (800) 926-8273

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA18241 (CA)

Record details

NPI number1225258445
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , PA-C
Sole proprietorNo
NPI enumeratedApril 27, 2007
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Regents Of The University Of California — 2061 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in San Diego