Janneth Bautista, N.P.

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95004180 Issued in CA

Practice address

2010 E 1St St Ste 100
Santa Ana, CA 92705-4086

Phone

(714) 556-7246

NPI assigned

Jun 6, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1104275718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 E 1ST ST STE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054086",
            "telephone_number": "714-556-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 E 1ST ST STE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054086",
            "telephone_number": "714-556-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "JANNETH",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95004180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Judith Bautista Garcia, LMFT, APCC
• Kory Bautista-Meeks
• Brenda Bautista, ASW
• Carla Vanessa Bautista
• Hector Bautista
• Jonah Bautista
• Juana Yolanda Bautista
• Paloma Del Carmen Bautista
• Randee Bautista
• Rebecca Baxter, ABAT

• Primary Care Nurse Practitioner in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.