Marvin Icban Bautista, D.C.
NPI 1215012778ActiveIndividual· Chiropractor· San Bruno, CA
Chiropractor (D.C.) in San Bruno, California, trained at Palmer College Chiropractic - West Sunnyvale (class of 2001). Medicare paid $7,706 for services to 29 patients in 2024.
Overview
| NPI | 1215012778 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.C. |
| Sole proprietor | Yes |
| NPI issued | Oct 25, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | DC28034 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Chiropractic (CA) |
|---|---|
| Accepts assignment | No (non-participating) |
Medicare services in 2024
| Medicare patients | 29 |
|---|---|
| Services billed | 241 across 1 procedure code |
| Paid by Medicare | $7,706 |
Education and affiliations
| Medical school | Palmer College Chiropractic - West Sunnyvale |
|---|---|
| Graduation year | 2001 |
| Medicare specialty | Chiropractic |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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