Jonah Bautista

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

287625 Issued in CA

Practice address

710 S Lyon St Apt 234
Santa Ana, CA 92705-7278

Phone

(949) 306-2054

NPI assigned

Jan 4, 2017

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

State licenses

Practice roles

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

• Oc Teen Center LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Long Beach, CA
  • NPI 1336967454
  NPD Authorized official
• Oc Teen Center LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Costa Mesa, CA
  • NPI 1528650686
  NPD Authorized official

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1457896136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S LYON ST APT 234",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927057278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S LYON ST APT 234",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927057278",
            "telephone_number": "949-306-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "JONAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "287625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kory Bautista-Meeks
• Brenda Bautista, ASW
• Carla Vanessa Bautista
• Hector Bautista
• Janneth Bautista, N.P.
• Juana Yolanda Bautista
• Paloma Del Carmen Bautista
• Randee Bautista
• Rebecca Baxter, ABAT
• Anita Bayat

• Licensed Vocational Nurse in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.