JOSE BAUTISTA (NPI# 1093995573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093995573 |
| Entity Type | Individual |
| Full Name | JOSE BAUTISTA |
| Credential | MA |
| Practice Address |
3803 N 5th St Philadelphia PA 19140-3337 |
| Mailing Address |
2030 W Tilghman St Suite 105b Allentown PA 18104-4354 |
| Practice Telephone | 4842219136 |
| Practice Fax Number | 4842219130 |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487206942 | Jose Bautista Jr. | Specialist/Technologist | 4718 Garden Pl, Las Vegas, NV 89107-4150 | 2019-07-15 |
| 1376985044 | Jose Bautista | Behavioral Analyst | 2160 E Kellogg Rd, Pahrump, NV 89048-7646 | 2013-07-23 |
| 1265588057 | Jose R. Bautista | Internal Medicine | 50 E 89th St Apt 23d, New York, NY 10128-1225 | 2007-01-26 |
| 1063514487 | Jose Luza Bautista IIi | Surgery | 2716 S Erin Ct, Walnut, CA 91789-4638 | 2006-09-05 |
| 1134119308 | Jose Luis Bautista | Internal Medicine | 2570 Jensen Ave Ste 106, Sanger, CA 93657-2269 | 2005-10-27 |
| 1699374165 | Jose M Bautista | Specialist/Technologist, Other | 5030 Broadway Ste 642, New York, NY 10034-1616 | 2020-10-25 |
| 1124118211 | Jose Santos Bautista | Pharmacist | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2006-10-13 |
| Street Address |
3803 N 5TH ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19140-3337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841331246 | Northeast Community Mental Health Center, Inc. | Clinic/Center | 3803 N 5th St, Philadelphia, PA 19140-3337 | 2007-02-09 |
| 1215316963 | Julia Bello | Counselor | 3803 N 5th St, Philadelphia, PA 19140-3337 | 2015-05-28 |
| 1093131120 | Paul Diaz | Counselor | 3803 N 5th St, Philadelphia, PA 19140-3337 | 2014-03-13 |
| 1851536387 | Iionka Y Aybar | Counselor | 3803 N 5th St, Philadelphia, PA 19140-3337 | 2008-12-12 |
| 1457520207 | Edwin Garcia | Counselor | 3803 N 5th St, Philadelphia, PA 19140-3337 | 2008-02-26 |
| 1386813137 | Tania Natera | Counselor | 3803 N 5th St, Philadelphia, PA 19140-3337 | 2008-02-26 |
| 1265601009 | Lilly Florez | Counselor | 3803 N 5th St, Philadelphia, PA 19140-3337 | 2008-02-26 |
| 1063692564 | Melissa Kahane | Counselor | 3803 N 5th St, Philadelphia, PA 19140-3337 | 2007-11-13 |
| 1083894562 | Aura Lopez | Counselor | 3803 N 5th St, Philadelphia, PA 19140-3337 | 2007-11-13 |
| 1851571475 | Fracisco Mella | Counselor | 3803 N 5th St, Philadelphia, PA 19140-3337 | 2007-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640519 | Desirea Grant | Registered Nurse | 2000 W. Venango Street, Phila, PA 19140 | 2020-08-19 |
| 1306316104 | Carmen Doumit | Dentist | 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 | 2018-12-05 |
| 1780150375 | Samantha Marina Felix | Counselor | 3803-3805 N 5th St, Philadelphia, PA 19140 | 2018-10-22 |
| 1518485135 | Holly Marie Barbee | Dietitian, Registered | 4417 N 6th St., Philadelphia, PA 19140 | 2017-09-04 |
| 1033630892 | Jessica Anne Tang | Otolaryngology | 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 | 2017-07-03 |
| 1710416870 | Narsis Aminian | Internal Medicine | 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 | 2017-06-12 |
| 1629527338 | Alaa Khatib | Pharmacist | 4616-4650 N. Broad Street, Philadelphia, PA 19140 | 2016-09-23 |
| 1548716160 | Direct Home Health Care | In Home Supportive Care | 3550 N 9th St, Philadelphia, PA 19140 | 2016-09-01 |
| 1306399225 | Zaima Choudhry | Student in an Organized Health Care Education/Training Program | Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 | 2016-07-27 |
| 1891145504 | Saji Mathew | Pharmacist | 4530n 5th Street, Philadelphia, PA 19140 | 2016-06-14 |
| Find all providers in zip 19140 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311575 | Jennifer Victoria Hart | Counselor | 1644 W Champlost St, Philadelphia, PA 19141-1819 | 2020-09-19 |
| 1184233892 | Jordyn Occhipinti | Counselor | 429 Daly St, Philadelphia, PA 19148-5702 | 2020-07-28 |
| 1346868783 | Walter J Bullock | Counselor | 1831 Wakeling St, Philadelphia, PA 19124-2855 | 2020-07-13 |
| 1114544475 | Atiya Walida Pope | Counselor | 1027 Wagner Ave, Philadelphia, PA 19141-2927 | 2020-07-01 |
| 1639795560 | Caroline Maccherone | Counselor | 2207 E Norris St, Philadelphia, PA 19125-1905 | 2020-06-16 |
| 1093339988 | Brianna Bliss | Counselor | 836 S Howard St, Philadelphia, PA 19147-3436 | 2020-06-05 |
| 1497376578 | Frank Allen Edwards Jr. | Counselor | 2506 S Broad St, Philadelphia, PA 19145-4639 | 2020-04-30 |
| 1083234538 | David Sparrow Sr. | Counselor | 2929 Arch St Ste 1746, Philadelphia, PA 19104-2857 | 2020-04-24 |
| 1316567654 | Cheryl D Nelson | Counselor | 3300 Henry Ave Ste 302, Philadelphia, PA 19129-1314 | 2020-04-16 |
| 1952938912 | Marjola Como | Counselor | 108 Cliffwood Rd, Philadelphia, PA 19115-2715 | 2020-03-26 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19140 |
Please comment or provide details below to improve the information on JOSE BAUTISTA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.