Gerard Bautista
Individual provider Active NPI Marriage & Family Therapist · Rosemead, CA
NPI 1295068971 · NPPES record last updated Oct 15, 2015
Key facts
- NPI
- 1295068971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- IMF64319 (CA)
- Practice address
- 7600 E. Graves Ave
Rosemead, CA 91770-3414 - Phone
- (626) 280-6510
- Fax
- (626) 288-8903
- NPI assigned
- Sep 11, 2009
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF64319 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF64319 | CA | Yes |
Addresses
Primary practice location
7600 E. Graves Ave
Rosemead, CA 91770-3414
Mailing address
7600 E. Graves Ave
Rosemead, CA 91770-3414
Phone (626) 280-6510
Other providers in Rosemead, CA
- Shawn R Barnum
- Marielle Angeline Baronia
- Samantha Barreto
- Alexis D Batres
- Serena Battle
- Kate Baxter
- Karen Gayle Bayate
- Sydney Jaelyne Bello
- Moshe Ben-Yosef
- Angela Nguyen Bernal
All providers in Rosemead, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.