Individual provider · NPI-1

Joshua Aaron Bautista, FNP-BC

Nurse Practitioner, Primary Care · Newport Beach, CA

NPI number1386514123
StatusActive
Last updated in NPPESJun 1, 2026

Details

NPI
1386514123
Entity type
Individual (NPI-1)
Name
Joshua Aaron Bautista
Credential
FNP-BC
Sex
Male
Sole proprietor
No
Enumeration date
Nov 7, 2025
Certification date
Jun 1, 2026
Last updated
Jun 1, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP2300X Nurse Practitioner, Primary Care95035952CAYes

Practice location

4041 Macarthur Blvd
Newport Beach, CA 92660-2512

Phone 949-736-6102 · Fax 877-223-5602

Mailing address

12141 Centralia St Unit 302
Lakewood, CA 90715-1566

Other practice locations

12141 Centralia St Unit 302
Lakewood, CA 90715-1566

Phone 562-547-8560

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