Beverly Loida Bautista, RN

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

3819 7 Trees Blvd Apt 306
San Jose, CA 95111-3369

Phone

(408) 963-7594

NPI assigned

May 25, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Beverly Loida Degracia Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1164160453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 7 TREES BLVD APT 306",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951113369",
            "telephone_number": "408-963-7594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 7 TREES BLVD APT 306",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951113369",
            "telephone_number": "408-963-7594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "BEVERLY",
        "middle_name": "LOIDA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "3819 7 Trees Blvd Apt 306",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951113369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BEVERLY",
            "last_name": "DEGRACIA",
            "middle_name": "LOIDA",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Harold Lee Baumstein, DDS
• Gabriel Baun
• Kurt N Bausback, MD
• Gerald Bausek, M.D.
• Ekaterina Bautina, MD
• Braden Alexander Bautista
• Christine Aquino Bautista, MA
• Esmeralda Bautista
• Katrina Bautista
• Kristian Bautista

• Attendant Care Provider in San Jose, CA
• Providers in San Jose, CA by specialty
• Attendant Care Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.