Active NPI
Jennifer Bautista
- Pharmacist
- Bakersfield, CA
National Provider Identifier
1487196283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- CA74260
- Practice address
- 13045 Rosedale Hwy
Bakersfield, CA 93314-9496 - Phone
- (661) 587-0158
- NPI assigned
- Nov 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | CA74260 | CA | Primary |
Addresses
Primary practice location
13045 Rosedale Hwy
Bakersfield, CA 93314-9496
Mailing address
3701 W Avenue 42
Los Angeles, CA 90065-4401
Phone (323) 326-3348
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CA74260 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478649600000",
"number": "1487196283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 W AVENUE 42",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900654401",
"telephone_number": "323-326-3348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13045 ROSEDALE HWY",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933149496",
"telephone_number": "661-587-0158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUTISTA",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-09",
"last_updated": "2016-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "CA74260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.