Organization Active NPI

Michelle Bautista

  • Military General Acute Care Hospital
  • Spring Valley, CA
National Provider Identifier
1316112311
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military General Acute Care HospitalTaxonomy code 2865M2000X
Legal business name
MICHELLE BAUTISTA
Practice address
8707 Troy St Apt 105
Spring Valley, CA 91977-2503
Phone
(619) 741-8988
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Michelle Bautista
Title
Certified Medical Assistant
Phone
(619) 741-8988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military General Acute Care Hospital 2865M2000X CA Primary

Addresses

Primary practice location

8707 Troy St Apt 105
Spring Valley, CA 91977-2503

Mailing address

8707 Troy St Apt 105
Spring Valley, CA 91977-2503

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1316112311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8707 TROY ST APT 105",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919772503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8707 TROY ST APT 105",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919772503",
            "telephone_number": "619-741-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE BAUTISTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CERTIFIED MEDICAL ASSISTANT",
        "authorized_official_telephone_number": "619-741-8988"
    },
    "taxonomies": [
        {
            "code": "2865M2000X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.