Mary Stephanie Gangcaungco Bautista (NPI# 1437506581, PAC ID# 8527331370) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1437506581 |
| PAC ID by PECOS | 8527331370 |
| Professional Enrollment ID | I20170830002268 |
| Full Name | Mary Stephanie Gangcaungco Bautista |
| Organization Legal Name | COUNTY OF RIVERSIDE |
| Address |
2499 E Lakeshore Dr Lake Elsinore CA 92530-4446 |
| Phone Number | 9514714200 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6507754488 |
| Number of Group Practice Members | 89 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 | 9514714200 | COUNTY OF RIVERSIDE |
| Organization Legal Name | COUNTY OF RIVERSIDE |
| Physicians | 118 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Walter Ernesto Hernandez | Nurse Practitioner | County of Riverside | 3055 W Ramsey St, Banning, CA 92220-3781 |
| Mildred Lotty Mendez-andrews | Clinical Social Worker | County of Riverside | 1370 S State St, San Jacinto, CA 92583-4933 |
| Eric F Ontiveros | Clinical Social Worker | County of Riverside | 769 W Blaine St B, Riverside, CA 92507-3970 |
| Barbara Jane Ganchingco | Family Medicine | County of Riverside | 308 E San Jacinto Ave, Perris, CA 92570-2878 |
| Intisar K Chamoun | Clinical Social Worker | County of Riverside | 10186 Indiana Ave, Riverside, CA 92503-5304 |
| Marc David Dobson | Physician Assistant | County of Riverside | 47825 Oasis St, Indio, CA 92201-6950 |
| Joseph P James | Psychiatry | County of Riverside | 9990 County Farm Rd, Riverside, CA 92503-3542 |
| Neeta Kumari | Psychiatry | County of Riverside | 31760 Casino Dr, Lake Elsinore, CA 92530-4561 |
| Kenoye R Uku | Internal Medicine | County of Riverside | 7140 Indiana Ave, Riverside, CA 92504-4544 |
| Minqi Hao | Family Medicine | County of Riverside | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 |
| Street Address |
2499 E LAKESHORE DR |
| City | LAKE ELSINORE |
| State | CA |
| Zip | 92530-4446 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Minqi Hao | Family Medicine | County of Riverside | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 |
| Soheil Samvatian | General Practice | County of Riverside | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 |
| Ikechi O Obiocha | Internal Medicine | County of Riverside | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 |
| Sandar Kyi | Family Medicine | County of Riverside | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William J Haneline | Chiropractic | 600 Central Ave G, Lake Elsinore, CA 92530-2740 | |
| Timothy J Kimble | Chiropractic | 600 Central Ave, Suite G, Lake Elsinore, CA 92530-2740 | |
| Scott M Dewenter | Podiatry | 600 Central Ave, Ste. G, Lake Elsnore, CA 92530-2740 | |
| Thomas E Oliveira | Internal Medicine | 506 W Graham Ave, Suite 107, Lake Elsinore, CA 92530-3600 | |
| Tyrone Enrique Arce | Family Medicine | 121 S Main St, Lake Elsinore, CA 92530-4108 | |
| Gabriel Colon | Internal Medicine | Dr. Javier Rios, A Medical Corporation | 141 N Main St, Lake Elsinore, CA 92530-4118 |
| Adolfo E Quiroga | Physician Assistant | Dr. Javier Rios, A Medical Corporation | 141 N Main St, Lake Elsinore, CA 92530-4118 |
| Gregorio Sosa | Physician Assistant | Dr. Javier Rios, A Medical Corporation | 141 N Main St, Lake Elsinore, CA 92530-4118 |
| Martha Evangeline Colunga | Physician Assistant | Dr. Javier Rios, A Medical Corporation | 141 N Main St, Lake Elsinore, CA 92530-4118 |
| Daisy Lizzette Torres | Physician Assistant | Dr. Javier Rios, A Medical Corporation | 141 N Main St, Lake Elsinore, CA 92530-4118 |
| Find all physicians in zip 92530 | |||
| City | LAKE ELSINORE |
| Zip Code | 92530 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAKE ELSINORE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mary Stephanie Gangcaungco Bautista.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.