Anthony Oscar Bautista

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

3576 Arlington Ave
Riverside, CA 92506-3943

Phone

(559) 644-7742

NPI assigned

Jun 21, 2022

Sex

Male

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)

Not enrolled

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1104557040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 CAMERON WAY",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925090152",
            "telephone_number": "323-217-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3576 ARLINGTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063943",
            "telephone_number": "559-644-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "ANTHONY",
        "middle_name": "OSCAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roselie A. Bauman, MD
• Beth D. Baus, M.S.
• Leylanie Scarlet Bautista Cervantes
• Angeles Bautista-Arredondo
• Perla Yanira Bautista-Ponce
• Elizabeth Bautista
• Emily Bautista
• Erickson Cruz Bautista, D.N.P
• Erika Bautista
• Leslie Bautista

• Community Health Worker in Riverside, CA
• Providers in Riverside, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.