Jeremiah Bautista, RN, PHN, BSN

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

95198720 Issued in CA

Practice address

1100 San Leandro Blvd
San Leandro, CA 94577-1595

Phone

(510) 267-3250

NPI assigned

Sep 23, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1306718804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 GREG THATCH CIR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958352425",
            "telephone_number": "415-519-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SAN LEANDRO BLVD",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945771595",
            "telephone_number": "510-267-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "JEREMIAH",
        "credential": "RN, PHN, BSN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "95198720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Michael Battaglia, RN
• Courtney Bauarschi
• Corey Baumgartner
• Julio C Bautista Ramirez
• Jallah Marcel Bautista
• Jhoanne Bautista, M.D. PH.D.
• Kimberly Yessenia Bautista
• Tiffany Sarah Bautista
• Bay Area Behavioral Health LLC
• Bay Area Ear, Nose, and Throat Medical Group

• Public Health & General Preventive Medicine Physician in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Public Health & General Preventive Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.