Jastine Lee Robancho Bautista

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

292730 Issued in CA

Practice address

18217 Hale Ave
Morgan Hill, CA 95037-3550

Phone

(408) 465-8280

NPI assigned

Nov 29, 2021

Last updated

Nov 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1003573874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18225 HALE AVE",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950373547",
            "telephone_number": "408-465-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18217 HALE AVE",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950373550",
            "telephone_number": "408-465-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "JASTINE LEE",
        "middle_name": "ROBANCHO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "292730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Joy Baker Connor, OD
• Erin Bakke, COTA
• Nelly Yosseline Balderas Herrera
• Yvonne Bannister, BS, IBCLC, CBE, CMT,
• Alexander Richard Barbaran
• Lilibeth Bautista
• Bay Area Foot and Ankle Centers Inc
• Bay Area Speech and Language Clinic
• Oscar David Becerra, M.D.
• Becky Kroll, MD, Inc.

• Licensed Vocational Nurse in Morgan Hill, CA
• Providers in Morgan Hill, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.