LESLIE BAUTISTA (NPI# 1649788167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649788167 |
| Entity Type | Individual |
| Full Name | LESLIE BAUTISTA |
| Practice Address |
1276 Autumnwood Ln Perris CA 92571 |
| Mailing Address |
4951 Brooks St Riverside CA 92506-0100 |
| Practice Telephone | 6192004294 |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-07-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056277 | Leslie Nain Bautista | Student in an Organized Health Care Education/Training Program | 3067 E Warm Springs Rd Ste 100, Las Vegas, NV 89120-3750 | 2020-09-08 |
| Street Address |
1276 AUTUMNWOOD LN |
| City | PERRIS |
| State | CA |
| Zip Code | 92571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376199422 | Pico De Loro, Incorporated | Assisted Living Facility | 620 North Perris Boulevard, Perris, CA 92571 | 2019-08-14 |
| 1053802579 | Kadiatou Dafney | Nurse Practitioner | 126 Avocado Ave Ste 106, Perris, CA 92571 | 2018-05-21 |
| 1730677014 | Ruth Gasselle Rodriguez | Nutritionist | 1020 Huntington Way, Perris, CA 92571 | 2018-04-23 |
| 1588180459 | Eduardo Orozco-zavala | Licensed Vocational Nurse | 85 Ramona Expressway, Suite 1, Perris, CA 92571 | 2017-08-22 |
| 1396267365 | National Vision, Inc. | Technician/Technologist | 1850 N Perris Boulevard, Suite 40, Perris, CA 92571 | 2017-07-12 |
| 1336669506 | Gary Huang | Optometrist | 1850 N Perris Boulevard Ste 40, Perris, CA 92571 | 2017-06-20 |
| 1750814745 | New Beginnings Residential Tf | Residential Treatment Facility, Emotionally Disturbed Children | 106 Worth St, Perris, CA 92571 | 2017-04-06 |
| 1013456235 | Sohal and Pham Dental Corporation | Dentist | 1820 Perris Blvd, Suite 70, Perris, CA 92571 | 2017-02-21 |
| 1093267569 | New Beginnings Residential Tf | Residential Treatment Facility, Emotionally Disturbed Children | 2464 Slew of Gold Ct, Perris, CA 92571 | 2016-10-31 |
| 1235681701 | New Beginnings Residential Tf | Residential Treatment Facility, Emotionally Disturbed Children | 2579 Spectacular Bid St, Perris, CA 92571 | 2016-10-31 |
| Find all providers in zip 92571 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013539451 | Cynthia Ascencio | Counselor | 2340 Firebrand Ave, Perris, CA 92571-2697 | 2020-05-07 |
| 1518594191 | Sarai Velasquez | Counselor | 2560 N Perris Blvd Ste N-i, Perris, CA 92571-3254 | 2020-03-24 |
| 1861035966 | Community Access Network | Counselor | 14294 Oakdale Dr, Perris, CA 92570-8419 | 2019-10-21 |
| 1760983431 | Desteny Lisette Soriano | Counselor | 537 Redding Way, Perris, CA 92570-4547 | 2018-02-27 |
| 1073026308 | Christina Joanna Covarrubias | Counselor | 85 Ramona Expy Ste 1-4, Perris, CA 92571-7014 | 2017-11-08 |
| 1184076200 | Ashley Nicole Gartin | Counselor | 131 Perou St, Perris, CA 92570-2515 | 2016-07-13 |
| 1790091718 | Josh B Neal | Counselor | 827 Georgiana Ct, Perris, CA 92570 | 2010-08-27 |
| 1184951022 | Michelle Alice Creed | Counselor | 170 Wilkerson Ave Ste A-d, Perris, CA 92570-2200 | 2009-11-13 |
| 1205091790 | Jill None Demos | Counselor | 24050 Christmas Tree Lane, Perris, CA 92570 | 2008-07-23 |
| 1508041591 | Lucy You Her | Counselor | 1688 N Perris Blvd Ste L7, Perris, CA 92571-4707 | 2008-01-08 |
| Find all providers in PERRIS | ||||
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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.