DANIELLE BAUTISTA (NPI# 1184969651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Street Address |
363 MAIN ST SUITE C |
City | REDWOOD CITY |
State | CA |
Zip Code | 94063-1729 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578104378 | Jade Francetich | Psychologist | 450 Broadway St., Pavilion B 2nd Floor, Redwood City, CA 94063 | 2019-10-02 |
1861052060 | County of San Mateo | Clinic/Center | 1300 Maple St., Redwood City, CA 94063 | 2019-06-19 |
1750941977 | County of San Mateo | Clinic/Center | 300 Bradford St., Redwood City, CA 94063 | 2019-06-19 |
1023678661 | Linda K Watanabe | Preventive Medicine | 700 Bay Rd. #2803, Redwood City, CA 94063 | 2019-06-17 |
1235630369 | Waverly Place Apartments, Lp | Case Management | 105 Waverly Place, Redwood City, CA 94063 | 2018-02-23 |
1306371679 | Caely Alise Hambro | Student in an Organized Health Care Education/Training Program | Stanford Dermatology, 430 Broadway, Redwood City, CA 94063 | 2017-04-25 |
1609316736 | Justine Nicole Dela Cruz | Nurse Practitioner | 420 Broadway St # D, Redwood City, CA 94063 | 2017-03-08 |
1336683234 | Babita Chopra | Pharmacist | 2300 Middlefield Road, Redwood City, CA 94063 | 2016-12-12 |
1073065595 | Diana Genoveva Posner I | Counselor | 604 Prince Ave. Ste A, Redwood City, CA 94063 | 2016-11-01 |
1295288264 | Benjamin Dickter | Student in an Organized Health Care Education/Training Program | 1107 2nd Ave, Apt 103, Redwood City, CA 94063 | 2016-07-26 |
Find all providers in zip 94063 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699388504 | Daniel Ngo | Nurse Practitioner | 1180 S Hilda St, Anaheim, CA 92806-5007 | 2020-08-28 |
1407464522 | Laura Bradigan | Nurse Practitioner | 1744 Grand Ave Unit 2, Long Beach, CA 90804-2022 | 2020-07-15 |
1538787031 | Kelly Olcott | Nurse Practitioner | 4004 Via Lucero Apt 12, Santa Barbara, CA 93110-1692 | 2020-07-10 |
1629695440 | Kelley Ibarra | Nurse Practitioner | 1613 Celeste Dr, Modesto, CA 95355-5039 | 2020-06-26 |
1497379333 | Gloria Jean Campbell | Nurse Practitioner | 5055 E Garford St Apt 6, Long Beach, CA 90815-2861 | 2020-06-06 |
1851913115 | Lilly Fong | Nurse Practitioner | 15821 Square Top Ln, Fontana, CA 92336-4586 | 2020-05-09 |
1548880750 | Sharkeiya Terrell | Nurse Practitioner | 2752 Harrison Ave Ste A, Eureka, CA 95501-4738 | 2020-04-17 |
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 |
1518507078 | Rachel Saake Collar | Nurse Practitioner | 5100, 1000 Executive Pkwy, Oroville, CA 95966 | 2020-01-13 |
Find all providers with the same taxonomy |
City | REDWOOD CITY |
Zip Code | 94063 |
Please comment or provide details below to improve the information on DANIELLE 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.