Jade Bautista, PHARMD

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

89830 Issued in CA

Practice address

901 El Camino Real
San Bruno, CA 94066-3009

Phone

(650) 742-2100

NPI assigned

Aug 4, 2025

Sex

Female

Sole proprietor

No

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

Doctor of Pharmacy

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1396629143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 DAVID SENFT LN",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953045994",
            "telephone_number": "408-818-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 EL CAMINO REAL",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940663009",
            "telephone_number": "650-742-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 El Camino Real",
            "address_purpose": "LOCATION",
            "city": "South San Francisco",
            "state": "CA",
            "postal_code": "940803299",
            "country_code": "US",
            "telephone_number": "650-742-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "395 Hickey Blvd",
            "address_purpose": "LOCATION",
            "city": "Daly City",
            "state": "CA",
            "postal_code": "940152770",
            "country_code": "US",
            "telephone_number": "650-301-5860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "JADE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "CA",
            "license": "89830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zuleimi Barrios
• John Brian Barroso
• Iosif Basis
• Katelyn Bass
• Bautista Chiropractic Care Inc
• Kyle Anthony Bautista
• Marcelina Bautista
• Marvin Icban Bautista, D.C.
• Bay Area PL Services
• Bay Area PL Services

• Ambulatory Care Pharmacist in San Bruno, CA
• Providers in San Bruno, CA by specialty
• Ambulatory Care Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.