MICHELLE BAUTISTA (NPI# 1316112311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316112311 |
| Entity Type | Organization |
| Organization Name | MICHELLE BAUTISTA |
| Practice Address |
8707 Troy St Apt 105 Spring Valley CA 91977-2503 |
| Practice Telephone | 6197418988 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-30 |
| Authorized Official Name | MICHELLE BAUTISTA (CERTIFIED MEDICAL ASSISTANT) |
| Authorized Official Telephone | 6197418988 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2865M2000X |
Military Hospital Specialization: Military General Acute Care Hospital |
CA | Hospitals |
| Street Address |
8707 TROY ST APT 105 |
| City | SPRING VALLEY |
| State | CA |
| Zip Code | 91977-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710448436 | Tonetta Marie Smith | Counselor | 3322 Sweetwater Blvd, Ste 102, Spring Valley, CA 91977 | 2019-03-26 |
| 1164938080 | Tanya Renee Grant | Registered Nurse | 3536 Sweetwater Springs Blvd #d17, Spring Valley, CA 91977 | 2017-12-15 |
| 1326468034 | Michael Angelo Porter Sr. | Counselor | 3648 S Bonita St., Spring Valley, CA 91977 | 2014-04-21 |
| 1861819807 | Tara Bruton | Student in an Organized Health Care Education/Training Program | 211 Tarango Pl, Spring Valley, CA 91977 | 2014-03-27 |
| 1871835470 | Mcalister Institute for Treatment & Education, Inc. | Counselor | 8585 Blossom Lane, Room 117 and 117a, Spring Valley, CA 91977 | 2013-03-21 |
| 1992051692 | Alexander Forrest Greer | Counselor | 8585 Blossom Ln., Spring Valley, CA 91977 | 2012-07-31 |
| 1538433784 | Christopher Joseph Pittman | Rehabilitation Practitioner | 1209 San Miguel Avenue, Spring Valley, CA 91977 | 2012-03-06 |
| 1962653055 | Cherokee Personnel Services | Nursing Facility/Intermediate Care Facility | 3005 Rockcliff Ln, Spring Valley, CA 91977 | 2008-10-07 |
| 1942473665 | Victor Manuel Rendon | Pharmacy Technician | 1633 Gremlin Way, Spring Valley, CA 91977 | 2008-04-03 |
| 1568633295 | Maria V Agustin | Dentist | 645 Sweetwawter Rd., Spring Valley, CA 91977 | 2008-03-21 |
| Find all providers in zip 91977 | ||||
| Taxonomy Code | 2865M2000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| Specialization | Military General Acute Care Hospital |
| A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in "fixed" facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A "fixed" facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as "pass-through" items. |
| Notes: [1/1/2005: title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649682154 | United States Navy | Military Hospital | Logistics Support Unit Onemedic, 2424 Redova Rd Bldg 156, San Diego, CA 92155-5401 | 2014-06-02 |
| 1679824585 | United States Navy | Military Hospital | Bldg 14137, Camp Pendleton, CA 92055-5697 | 2012-10-02 |
| 1396047866 | United States Navy | Military Hospital | 5065 Sunburst St, Joshua Tree, CA 92252-1831 | 2010-12-03 |
| 1578734729 | Va San Diego Healthcare System | Military Hospital | 3350 La Jolla Village Dr -mail Box 122, San Diego, CA 92161-0002 | 2008-03-17 |
| 1760651772 | Lance Mandernack | Military Hospital | 3371 Glendale Blvd, #186, Los Angeles, CA 90039-1825 | 2008-02-22 |
| 1306919501 | Weed Army Community Hospital | Military Hospital | Inner Loop, Fort Irwin, CA 92310-5109 | 2006-11-16 |
| 1699726570 | Naval Hospital Twentynine Palms | Military Hospital | 1145 Sturgis Road, Twentynine Palms, CA 92278 | 2006-05-15 |
| 1417304445 | V.a. Long Beach Medical Center | Military Hospital | 5901 E 7th St, Long Beach, CA 90822-5201 | 2016-05-19 |
| 1023377868 | Va Hospital | Military Hospital | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2012-05-14 |
| 1013187566 | Uscg Airsta Sacramento | Military Hospital | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2008-03-11 |
| Find all providers with the same taxonomy | ||||
| City | SPRING VALLEY |
| Zip Code | 91977 |
Please comment or provide details below to improve the information on MICHELLE 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.