MRS. MARY STEPHANIE GANGCUANGCO BAUTISTA (NPI# 1437506581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437506581 |
| Entity Type | Individual |
| Full Name | MRS. MARY STEPHANIE GANGCUANGCO BAUTISTA |
| Credential | FNP |
| Practice Address |
28062 Baxter Rd Murrieta CA 92563-1401 |
| Mailing Address |
3853 W Stetson Ave Hemet CA 92545-9674 |
| Practice Telephone | 9565346114 |
| Mailing Telephone | 9519296900 |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2017-05-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 676857 | CA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95005578 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
28062 BAXTER RD |
| City | MURRIETA |
| State | CA |
| Zip Code | 92563-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710988175 | Nalan Nmn Narine | Anesthesiology | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2005-08-09 |
| 1245846146 | Loma Linda Anesthesia Services A Medical Corporation | Anesthesiology | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2020-09-17 |
| 1518585280 | Luke Edgson | Student in an Organized Health Care Education/Training Program | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2020-07-09 |
| 1821611674 | Angela Lynne Palmer | Nurse Practitioner | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2020-05-27 |
| 1841812567 | Mgmd Anesthesia Inc | Anesthesiology | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2020-05-15 |
| 1629698733 | Christopher Michael Phillips | Student in an Organized Health Care Education/Training Program | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2020-04-18 |
| 1871113050 | Ted Park | Student in an Organized Health Care Education/Training Program | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2020-04-17 |
| 1639702053 | Jose I De Armas II | Anesthesiology | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2020-02-13 |
| 1235779521 | Cep America - Neurology PC | Psychiatry & Neurology | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2020-01-14 |
| 1184260697 | Landmark Anesthesia Medical Group Llumc | Anesthesiology | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2019-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972137073 | Catherine Sanders | Physical Therapist | 39815 Alta Murrieta Drive, Suite C-1, Murrieta, CA 92563 | 2020-02-27 |
| 1588201990 | Joanna Chante Rios Montoya | Case Manager/Care Coordinator | 30755 Auld Rd B, Murrieta, CA 92563 | 2019-12-04 |
| 1881154896 | Just for You Home Care Inc. | In Home Supportive Care | 30535 Marlow Ct., Murrieta, CA 92563 | 2019-03-25 |
| 1548751985 | Day By Day Treatment, Inc. | Clinic/Center | 40119 Murrieta Hot Springs Rd Ste B104, Murrieta, CA 92563 | 2018-05-22 |
| 1952802225 | Temecula Valley Skilled Nursing and Rehabilitation Center, Lp | Skilled Nursing Facility | 25924 Jackson Ave, Murrieta, CA 92563 | 2018-02-22 |
| 1114432721 | May Farrah Blanco Yoshisaki | Nurse Practitioner | 39525 Los Alamos Road, Ste E, Murrieta, CA 92563 | 2017-12-05 |
| 1942721899 | Cecilia Cristina Flores-castillo | Interpreter | 29910 Murrieta Hot Sprngs Rd., Ste. G-235, Murrieta, CA 92563 | 2017-06-30 |
| 1144756354 | Anh-thu Kent | Pharmacist | 40234 Miklich Dr, Murrieta, CA 92563 | 2017-05-08 |
| 1750817177 | Anahita Akbari Farahani | Dentist | 39209 Wichester Rd, Ste 100, Temecula, CA 92563 | 2017-05-04 |
| 1588196612 | Galena Dapra | Nurse Practitioner | 27808 Baxter Rd. Suite 320, Murrieta, CA 92563 | 2017-03-29 |
| Find all providers in zip 92563 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821618638 | Rodolfo Jaravata Hanson | Nurse Practitioner | 29910 Murrieta Hot Springs Rd., Ste G-505, Murrieta, CA 92563-3815 | 2020-04-22 |
| 1467097303 | Vaneet K Kaler | Nurse Practitioner | Loma Linda Wound Care & Hyperbaric Center, 28078 Baxter Rd, Murrieta, CA 92563-1401 | 2019-11-14 |
| 1619430881 | Jenta Karlene Kunkel | Nurse Practitioner | 22862 Montanya Pl, Murrieta, CA 92562-3496 | 2019-04-12 |
| 1972080455 | Tracy M Bronson | Nurse Practitioner | 23811 Washington Ave Ste C110, #203, Murrieta, CA 92562 | 2018-07-26 |
| 1114432721 | May Farrah Blanco Yoshisaki | Nurse Practitioner | 39525 Los Alamos Road, Ste E, Murrieta, CA 92563 | 2017-12-05 |
| 1588196612 | Galena Dapra | Nurse Practitioner | 27808 Baxter Rd. Suite 320, Murrieta, CA 92563 | 2017-03-29 |
| 1023549037 | Andre Cristian De Jesus | Nurse Practitioner | 24640 Jefferson Ave Ste 208, Murrieta, CA 92562 | 2017-03-22 |
| 1194069203 | Sarah Hussein Sheikh | Nurse Practitioner | 41670 Ivy St Ste B, Murrieta, CA 92562-9433 | 2012-11-15 |
| 1205104726 | Mona Rae Breid | Nurse Practitioner | 24910 Las Brisas Rd Ste 106, Murrieta, CA 92562-4010 | 2011-12-12 |
| 1649555939 | Gracious K Basa | Nurse Practitioner | 41670 Ivy St Suite B, Murrieta, CA 92562-1707 | 2011-10-18 |
| Find all providers in MURRIETA | ||||
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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.