DANIELLE BAUTISTA


Address: 363 Main St, Suite C, Redwood City, CA 94063-1729
Phone: 6503069490

DANIELLE BAUTISTA (NPI# 1184969651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184969651
Entity Type Individual
Full Name DANIELLE BAUTISTA
Credential A.N.P.
Practice Address 363 Main St
Suite C
Redwood City
CA 94063-1729
Mailing Address Po Box 1848
Novato
CA 94948-1848
Practice Telephone 6503069490
Practice Fax Number 6503060250
Mailing Telephone 4154952225
Mailing Fax Number 4154952228
Enumeration Date 2012-12-10
Last Update Date 2016-04-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
2012013516 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 363 MAIN ST
SUITE C
City REDWOOD CITY
State CA
Zip Code 94063-1729

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NPI Name Taxonomy Address Enumeration
1932104270 Hand Rehab Associates, Inc. Physical Therapist 363 Main St, Ste A, Redwood City, CA 94063-1729 2005-06-14
1912343328 Marina Zyskina Nurse Practitioner 363 Main St, Suite C, Redwood City, CA 94063-1729 2013-05-13
1487954285 Celia Anne Marie Marquis Nurse Practitioner 363 Main St, Suite C, Redwood City, CA 94063-1729 2010-10-26
1114249000 Meds LLC Pain Medicine 363 Main St, Unit C, Redwood City, CA 94063-1729 2010-02-19
1821324039 Carol Ann Corley Nurse Practitioner 363 Main St, Suite C, Redwood City, CA 94063-1729 2009-10-22
1295979227 David Augustine Lague Physician Assistant 363 Main St, Suite C, Redwood City, CA 94063-1729 2009-04-21
1891854568 Mark Jordan Sontag Physical Medicine & Rehabilitation 363 Main St, Suite C, Redwood City, CA 94063-1729 2006-12-08
1023107364 Elaine Satomi Date Physical Medicine & Rehabilitation 363 Main St, Ste C, Redwood City, CA 94063-1729 2006-10-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578104378 Jade Francetich Psychologist 450 Broadway St., Pavilion B 2nd Floor, Redwood City, CA 94063 2019-10-02
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1073065595 Diana Genoveva Posner I Counselor 604 Prince Ave. Ste A, Redwood City, CA 94063 2016-11-01
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093895245 Roberta Heck Nurse Practitioner 1190 Veterans Blvd, Redwood City, CA 94063-2037 2006-10-16
1417106915 Rebecca Sharon Neuwirth Nurse Practitioner 1150 Veterans Blvd, Redwood City, CA 94063-2037 2008-09-09
1891868758 Sarguna - Packiaraj Nurse Practitioner 1150 Veterans Blvd, Redwood City, CA 94063-2037 2006-11-16

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1730714007 Julissa Leonides Caraballo Nurse Practitioner 4044 Promontory St, San Diego, CA 92109-5334 2020-03-07
1194355404 Bethany Leda Donowho Nurse Practitioner 845 Via De La Paz Ste 16, Pacific Palisades, CA 90272-3627 2020-01-26
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Competitor

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City REDWOOD CITY
Zip Code 94063

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Dataset Information

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.

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