MR. ERICKSON CRUZ BAUTISTA (NPI# 1285024083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285024083 |
| Entity Type | Individual |
| Full Name | MR. ERICKSON CRUZ BAUTISTA |
| Credential | N.P. |
| Practice Address |
3330 Lomita Blvd Torrance CA 90505-5002 |
| Practice Telephone | 3107848770 |
| Practice Fax Number | 3107844991 |
| Mailing Telephone | 3107848770 |
| Mailing Fax Number | 3107844991 |
| Enumeration Date | 2015-01-31 |
| Last Update Date | 2015-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 715867 | CA | Nursing Service Providers |
| N | 363L00000X | Nurse Practitioner | 95002040 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
95002040 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
95002040 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3330 LOMITA BLVD |
| City | TORRANCE |
| State | CA |
| Zip Code | 90505-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467459776 | Torrance Memorial Medical Center | General Acute Care Hospital | 3330 Lomita Blvd, Torrance, CA 90505-5002 | 2005-06-30 |
| 1376162958 | Eileen Grace Whitfield | Social Worker | 3330 Lomita Blvd, Torrance, CA 90505-5002 | 2020-04-13 |
| 1851946867 | Tasneem Bholat Md Inc | Internal Medicine | 3330 Lomita Blvd, Torrance, CA 90505-5002 | 2019-08-06 |
| 1003469172 | Daneen Ann Larecy | Social Worker | 3330 Lomita Blvd, Torrance, CA 90505-5002 | 2019-07-18 |
| 1528626835 | May Soe Chang | Registered Nurse | 3330 Lomita Blvd, Torrance, CA 90505-5002 | 2019-06-01 |
| 1518525153 | Angela Yang Shvartsman | Emergency Medicine | 3330 Lomita Blvd, Torrance, CA 90505-5002 | 2019-05-30 |
| 1871156661 | Torrance Memorial Medical Center | Dietitian, Registered | 3330 Lomita Blvd, Torrance, CA 90505 | 2019-04-17 |
| 1164984167 | Melissa Benoit | Registered Nurse | 3330 Lomita Blvd, Torrance, CA 90505-5002 | 2019-04-01 |
| 1699236406 | Jennifer Joy Mastick | Registered Nurse | 3330 Lomita Blvd, Torrance, CA 90505-5002 | 2019-03-26 |
| 1124586433 | Tericia L Dart | Registered Nurse | 3330 Lomita Blvd, Torrance, CA 90505-5002 | 2019-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780229260 | Sleep Apnea Team LLC | Clinic/Center | 2785 Pacific Coast Hwy Ste. E #197, Torrance, CA 90505 | 2019-11-08 |
| 1811469349 | Laura Anne Bloomberg | Marriage & Family Therapist | 2790 Sky Park Drive, Suite 215, Torrance, CA 90505 | 2018-12-21 |
| 1629544234 | Doroty O.d.s. Devalon | Physician Assistant | 23530 Hawthorne Boulevard Building 1, Suite 290, Torrance, CA 90505 | 2018-10-22 |
| 1790270486 | Juste Karvelyte | Dentist | 3500 Lomita Blvd Ste 201, Torrance, CA 90505 | 2018-06-26 |
| 1023507324 | Robert De Leon | Physician Assistant | 23530 Hawthorne Blvd Ste 290, Torrance, CA 90505 | 2018-05-02 |
| 1376052274 | Regents of The University of California | Durable Medical Equipment & Medical Supplies | 3500 Lomita Bvld, Suite 300, Torrance, CA 90505 | 2017-09-22 |
| 1649796038 | Chan & Huang Dental Partnership | Dentist | 3640 Lomita Blvd., #208, Torrance, CA 90505 | 2017-08-17 |
| 1093238370 | Family Acupuncture, Inc. | Specialist/Technologist, Other | 2820 Sepulveda Blvd.ste.a, Torrance, CA 90505 | 2017-07-19 |
| 1629518535 | J Lee Acupuncture | Acupuncturist | 24248 Crenshaw Blvd. #106, Torrance, CA 90505 | 2017-02-27 |
| 1770932360 | Maha Hanna Dds Inc | Dentist | 3710 Pacific Coast Hwy, Ste 101, Torrance, CA 90505 | 2016-06-06 |
| Find all providers in zip 90505 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134604754 | Victoria Eileen Meldrum | Nurse Practitioner | 20911 Earl St Ste 380, Torrance, CA 90503-4355 | 2018-09-28 |
| 1063790970 | Theresa Chua Yeomans | Nurse Practitioner | 4816 W Carson St, Torrance, CA 90503-6310 | 2011-07-26 |
| 1932498516 | Mary Louise Robinson | Nurse Practitioner | 19191 S Vermont Ave Ste 200, Torrance, CA 90502-1049 | 2011-04-04 |
| 1013301266 | Ronaldo Mamaril | Nurse Practitioner | 23451 Madison St Ste 290, Torrance, CA 90505-4737 | 2015-03-26 |
| 1154606127 | Rochelle Joy Lacuesta Galeon | Nurse Practitioner | 3565 Del Amo Blvd, Torrance, CA 90503-1637 | 2011-10-20 |
| 1578857215 | Jamie Lee Reyes Tran | Nurse Practitioner | 1124 W Carson St, Building J-3, Torrance, CA 90502-2006 | 2011-05-28 |
| 1669626669 | Jennifer Marie Clark | Nurse Practitioner | 19601 Mariner Ave, Torrance, CA 90503-1647 | 2008-11-05 |
| 1790936649 | Susan N Starr | Nurse Practitioner | 3285 Skypark Dr, Torrance, CA 90505-5004 | 2008-10-08 |
| 1851548564 | Stephanie J. Jennison | Nurse Practitioner | 19191 S Vermont Ave, Torrance, CA 90502-1018 | 2008-08-25 |
| 1104092667 | Jungok Ha | Nurse Practitioner | 5315 Torrance Blvd, Torrance, CA 90503-4011 | 2008-05-05 |
| Find all providers in TORRANCE | ||||
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| 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.