Active NPI
Juan Bautista
- Counselor
- Long Beach, CA
National Provider Identifier
1275840597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 3605 Long Beach Blvd Ste 331
Long Beach, CA 90807-4025 - Phone
- (562) 989-0537
- NPI assigned
- Sep 8, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
3605 Long Beach Blvd Ste 331
Long Beach, CA 90807-4025
Mailing address
7314 Miramonte Blvd
Los Angeles, CA 90001-2540
Phone (323) 589-9043
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283904000000",
"number": "1275840597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7314 MIRAMONTE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900012540",
"telephone_number": "323-589-9043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3605 LONG BEACH BLVD STE 331",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908074025",
"telephone_number": "562-989-0537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUTISTA",
"first_name": "JUAN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-08",
"last_updated": "2010-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.