Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Cedric M. Bautista MD, a Medical Corporation

Organization Surgery Physician · NPI 1124392725

Cedric M. Bautista MD, a Medical Corporation provides Surgery Physician services in El Centro, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

1500 S Imperial Ave
El Centro, CA 92243-4241 Not confirmed with CMS for 14 years — call before visiting
Phone: (760) 353-6200
Fax: (760) 353-9817
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence A37997 (CA)

Record details

NPI number1124392725
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cedric Bautista — Owner · (760) 353-6200
NPI enumeratedFebruary 28, 2012
Last updated in NPPESFebruary 28, 2012
Mailing addressPo Box 2010, El Centro, CA 92244-2010

Other providers in El Centro