Salvador Bautista Jr.

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Practice address

4468 E Kings Canyon Rd
Building 340
Fresno, CA 93702-3605

Phone

(559) 600-9176

NPI assigned

Oct 21, 2024

Last updated

May 26, 2026By the provider in NPPES

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

Practice roles

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

• Fresno County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fresno, CA
  • NPI 1083412696
  NPD (past)
• Fresno County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fresno, CA
  • NPI 1962054676
  NPD (past)

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1346061603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4468 E KINGS CANYON RD",
            "address_2": "BUILDING 340",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937023605",
            "telephone_number": "559-600-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4468 E KINGS CANYON RD",
            "address_2": "BUILDING 340",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937023605",
            "telephone_number": "559-600-9176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3737 N Blackstone Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937265307",
            "country_code": "US",
            "telephone_number": "559-600-9176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7521 N Chestnut Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937200331",
            "country_code": "US",
            "telephone_number": "559-600-9176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3045 N Blackstone Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937031015",
            "country_code": "US",
            "telephone_number": "559-600-9176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "SALVADOR",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-21",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Bautista Bautista, PHARMD.
• Jasmin Bautista
• Juan Guerrero Bautista, M.D.
• Laura Bautista
• Luis Guerrero Bautista, MD
• Yesenia Bautista
• Terry Kyrm Bavin, CRNA
• Aimee Baxter
• Daniel Robert Baxter, MD
• Jacob Baxter

• Day Training/Habilitation Specialist in Fresno, CA
• Providers in Fresno, CA by specialty
• Day Training/Habilitation Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.