DIEGO BAUTISTA (NPI# 1629535604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629535604 |
| Entity Type | Individual |
| Full Name | DIEGO BAUTISTA |
| Practice Address |
324 S Beverly Drive #214 Beverely Hills CA 90212 |
| Mailing Address |
4177 Isabella Cir Lake Elsinore CA 92530-2032 |
| Practice Telephone | 3039224636 |
| Practice Fax Number | 3039224640 |
| Mailing Telephone | 7143229932 |
| Mailing Fax Number | 3039224640 |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
324 S BEVERLY DRIVE #214 |
| City | BEVERELY HILLS |
| State | CA |
| Zip Code | 90212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124582978 | California Surgery of Excellence, LLC | Clinic/Center | 269 S Beverly Dr Ste 809, Beverly Hills, CA 90212 | 2019-01-25 |
| 1356818132 | Kari Michelle Sacks | Social Worker | 300 South Beverly Drive, Beverly Hills, CA 90212 | 2018-10-30 |
| 1942782370 | Susan Elizabeth Smiley | Technician, Other | 160 S. Lasky Drive, Beverly Hills, CA 90212 | 2018-09-01 |
| 1417443714 | Sharona Asal Mossazadeh | Physician Assistant | 344 S Rodeo Dr, Beverly Hills, CA 90212 | 2018-07-10 |
| 1760983167 | Nina Rebecca Moradi | Marriage & Family Therapist | 420 S. Beverly Dr., Suite 100-19, Beverly Hills, CA 90212 | 2018-02-22 |
| 1376065946 | Rebecca Shelly Agi | Lactation Consultant, Non-RN | 350 South Reeves Dr., 201, Beverly Hills, CA 90212 | 2017-07-14 |
| 1952853582 | Dmarkis Randolph | Dietetic Technician, Registered | 269 S Beverly Drive, 1038, Beverly Hills, CA 90212 | 2016-10-31 |
| 1023560935 | Barrence Baytos | Kinesiotherapist | 260 S. Beverly Drive, Suite # 210, Beverly Hills, CA 90212 | 2016-10-26 |
| 1467810424 | Laura Fischer | Registered Nurse | 120 S Spalding Dr Ste 301, Beverly Hills, CA 90212 | 2016-02-05 |
| 1891172128 | Elaine Verchick | Marriage & Family Therapist | 9720 Wilshire Blvd. #708, Beverly Hills, CA 90212 | 2015-05-06 |
| Find all providers in zip 90212 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659996296 | Kelly Olivia Brand | Specialist/Technologist, Other | 11044 Tennessee Ave, Los Angeles, CA 90064-1966 | 2020-06-09 |
| 1417576901 | Alpha Neuro-monitoring, LLC | Specialist/Technologist, Other | 751 E Blithedale Ave # 369, Mill Valley, CA 94941-1515 | 2020-04-14 |
| 1386276624 | Pinpoint Monitoring LLC | Specialist/Technologist, Other | 73521 Jameson Rd, Palm Desert, CA 92211-2031 | 2020-02-05 |
| 1255986329 | Hope Diagnostics Inc | Specialist/Technologist, Other | 10999 Riverside Dr 204, North Hollywood, CA 91602-2239 | 2019-08-06 |
| 1982267001 | California Diagnostic Specialists, Inc. | Specialist/Technologist, Other | 9191 Westminster Ave # 209, Garden Grove, CA 92844-2751 | 2019-04-15 |
| 1083174213 | Svetlana Almeida | Specialist/Technologist, Other | 28201 La Plumosa, Laguna Niguel, CA 92677-7049 | 2019-03-22 |
| 1184191256 | Satellite Medical LLC | Specialist/Technologist, Other | 3478 Buskirk Ave Ste 140, Pleasant Hill, CA 94523-4383 | 2018-10-26 |
| 1063994879 | Martin Phan | Specialist/Technologist, Other | 2995 Edison Dr, San Jose, CA 95133-2412 | 2018-08-29 |
| 1285123588 | Vincent Mattiello | Specialist/Technologist, Other | 13924 Marquesas Way Apt 2302, Marina Del Rey, CA 90292-6020 | 2018-05-02 |
| 1013418011 | Julie Bloomfield | Specialist/Technologist, Other | 6645 Elegant Tern Pl, Carlsbad, CA 92011-2640 | 2018-02-24 |
| Find all providers with the same taxonomy | ||||
| City | BEVERELY HILLS |
| Zip Code | 90212 |
Please comment or provide details below to improve the information on DIEGO 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.