Individual provider · Type 1 NPI

Marie Angela M. Bautista, MS, PA-C

Physician Assistant · San Diego, CA

NPI number 1225258445 Active

Practice location

200 W Arbor Dr, Mc 8892
San Diego, CA 92103

Fax (619) 543-2652

Mailing address

File 57326
Los Angeles, CA 90074-7326

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA18241 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1225258445

Marie Angela M. Bautista, MS, PA-C's National Provider Identifier is 1225258445, issued on Apr 27, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in San Diego, CA. The record was last updated on Jul 10, 2026.