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Daisy Ibanez Bautista, MD

NPI 1306856992ActiveIndividual· Family Medicine· Los Angeles, CA

Family Medicine (MD) with Mobile Medical Group Inc., practicing in Los Angeles, California. In 2024 Medicare paid $808,498 for 1,850 patients, and Part D covered 4,309 of their prescriptions, 89% of them generic.

Overview

NPI1306856992
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorYes
NPI issuedAug 8, 2006
Last updated in NPPESJul 23, 2024
Certified by providerJul 23, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000XA36896CA
Pediatrics208000000XA368969CA
General Practice208D00000XA368969CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Family Practice (CA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients1,850
Services billed11,983 across 12 procedure codes
Paid by Medicare$808,498

Part D prescriptions in 2024

Prescriptions (claims)4,309 · 4,455 30-day fills
Patients221
Total drug cost$303,700
Generic share89% of claims

Medicare sources and data years

Education and affiliations

Graduation year1969
Medicare specialtyFamily Practice
Secondary specialtiesGeneral Practice

Medical group

Other facilities

Source: CMS Care Compare

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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