Active NPI
Paola Azucena Bautista, CPHW
- Counselor
- Lancaster, CA
National Provider Identifier
1013680115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 45104 10TH St W
Lancaster, CA 93534-2310 - Phone
- (661) 948-1228
- Fax
- (661) 471-8643
- NPI assigned
- Jul 26, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CA | Primary |
Addresses
Primary practice location
45104 10TH St W
Lancaster, CA 93534-2310
Mailing address
45104 10TH St W
Lancaster, CA 93534-2310
Phone (661) 941-9543
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427518789 | Other | CA | CPSP COORDINATOR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | pbautista@jwch.org | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Interoperability endpoints
- paola.bautistacpsp.p1@direct.jwch.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627257600000",
"number": "1013680115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45104 10TH ST W",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935342310",
"telephone_number": "661-941-9543",
"fax_number": "661-471-8643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45104 10TH ST W",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935342310",
"telephone_number": "661-948-1228",
"fax_number": "661-471-8643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUTISTA",
"first_name": "PAOLA",
"middle_name": "AZUCENA",
"credential": "CPHW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-26",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CPSP COORDINATOR",
"identifier": "1427518789",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "pbautista@jwch.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "pbautista@jwch.org",
"address_1": "45104 10th St W",
"city": "Lancaster",
"state": "CA",
"country_code": "US",
"postal_code": "935342310",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.