Individual provider Active NPI

Lourdes S Bautista, RN BSN

  • Infusion Therapy Registered Nurse
  • Van Nuys, CA
National Provider Identifier
1225704570
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Registered NurseTaxonomy code 163WI0500X
License
635480 Issued in CA
Practice address
16461 Sherman Way Ste 160
Van Nuys, CA 91406-3810
Phone
(818) 208-9388
Fax
(818) 208-9083
NPI assigned
Aug 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 635480 CA
Infusion Therapy Registered Nurse 163WI0500X 635480 CA Primary
Home Health Registered Nurse 163WH0200X 635480 CA

Addresses

Primary practice location

16461 Sherman Way Ste 160
Van Nuys, CA 91406-3810

Mailing address

16461 Sherman Way Ste 160
Van Nuys, CA 91406-3810
Phone (818) 208-9388

Other practice location 1

1461 E Cooley Dr Ste 220A
Colton, CA 92324-3921
Phone (909) 999-5200

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
635480CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Emily'S Home Health Care Inc CurrentSince Nov 8, 2025 Accepting new patients
Care and Care, Inc. Infusion Therapy Current Accepting new patients
Emily'S Home Health Care Inc CurrentSince Nov 8, 2025 Accepting new patients

Locations

16661 Ventura Blvd
Ste 400G
Encino, CA 91436
Phone (818) 208-9388

16461 Sherman Way
Ste 160
Van Nuys, CA 91406
Phone (818) 208-9388

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1225704570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16461 SHERMAN WAY STE 160",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063810",
            "telephone_number": "818-208-9388",
            "fax_number": "818-208-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16461 SHERMAN WAY STE 160",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063810",
            "telephone_number": "818-208-9388",
            "fax_number": "818-208-9083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1461 E Cooley Dr Ste 220A",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923243921",
            "country_code": "US",
            "telephone_number": "909-999-5200",
            "fax_number": "818-208-9083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "LOURDES",
        "middle_name": "S",
        "credential": "RN BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "635480",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "CA",
            "license": "635480",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "635480",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.