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

Roger Bautista, DO

Individual provider Emergency Medicine Physician · NPI 1902888084

Roger Bautista, DO is an Emergency Medicine in Hanford, California. Qualified in 2002, 24 years ago. Practices with Cep America LLC, a 985-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, Colorado, Florida and Georgia.

Years since qualifying
24
Licensed in
CA, CO, FL, GA
In the registry since
2005
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

115 Mall Dr
Hanford, CA 93230-5786
Phone: (559) 582-9000
Show map & directions

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

Additional practice locations (1)

  • 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 — (703) 805-0599

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence OS19273 (FL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 42078 (CO)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 70711 (GA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 20A9319 (CA)

Record details

NPI number1902888084
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedNovember 15, 2005
Last updated in NPPESFebruary 14, 2024
Certification dateFebruary 14, 2024
Mailing address1601 Cummins Dr Ste D, Modesto, CA 95358-6411

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Cep America Llc — 985 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hanford