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

Raymundo S Bautista, MD, Prof Corp

Organization Nephrology Physician · NPI 1023143427

Raymundo S Bautista, MD, Prof Corp provides Nephrology Physician services in Glendora, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

118 W Foothill Blvd
Glendora, CA 91741-3364 Not confirmed with CMS for 14 years — call before visiting
Phone: (626) 914-3871
Fax: (626) 963-2816
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence A52874 (CA)

Record details

NPI number1023143427
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymundo Bautista — President · (626) 914-3871
NPI enumeratedFebruary 23, 2007
Last updated in NPPESAugust 31, 2012
Mailing address118 W Foothill Blvd, Glendora, CA 91741-3364

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