Bautista Chiropractic Care Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC28034 Issued in CA

Legal business name

BAUTISTA CHIROPRACTIC CARE INC

Practice address

931 San Bruno Ave W RM 7
San Bruno, CA 94066-3435

Phone

(650) 225-0500

Fax

(650) 225-0510

NPI assigned

Feb 5, 2007

Last updated

Jul 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dawna J Brouqua

Title

Office Manager

Phone

(650) 225-0500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marvin Icban Bautista, D.C.

  • Chiropractor
  • San Bruno, CA
  • NPI 1215012778
  Medicare reassignment NPD
• Jorge Antonio Aranibar, D.C.

  • Chiropractor
  • San Bruno, CA
  • NPI 1710062260
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1174662530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 SAN BRUNO AVE W RM 7",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940663435",
            "telephone_number": "650-225-0500",
            "fax_number": "650-225-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 SAN BRUNO AVE W RM 7",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940663435",
            "telephone_number": "650-225-0500",
            "fax_number": "650-225-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAUTISTA CHIROPRACTIC CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "BROUQUA",
        "authorized_official_first_name": "DAWNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "650-225-0500"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zuleimi Barrios
• John Brian Barroso
• Iosif Basis
• Katelyn Bass
• Sarah Batty
• Jade Bautista, PHARMD
• Kyle Anthony Bautista
• Marcelina Bautista
• Marvin Icban Bautista, D.C.
• Bay Area PL Services

• Chiropractor in San Bruno, CA
• Providers in San Bruno, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.