Bautista Family Foot Clinic

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

5238870001 Issued in CA

Legal business name

BAUTISTA FAMILY FOOT CLINIC

Practice address

5343 Riverside Dr
Chino, CA 91710-4252

Phone

(909) 591-4035

NPI assigned

Aug 24, 2010

Organization subpart

No

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

Authorized official

Name

Christopher Bautista, DPM

Title

Podiatrist

Phone

(909) 591-4035

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1619283942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5343 RIVERSIDE DR",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104252",
            "telephone_number": "909-591-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5343 RIVERSIDE DR",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104252",
            "telephone_number": "909-591-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAUTISTA FAMILY FOOT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "909-591-4035",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "5238870001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Scheele Baron-Vartian, LCSW, PPSC
• Ronni Barrios
• Barsoum Dental Corp
• Isabelle Fahmi Barsoum Sr., AMFT
• Shala Monaa Battle, FNP
• Christopher C Bautista
• BDP Hospice & Palliative Care, Inc.
• Jazzlyn Gallardo Beck, DO
• Dylan G Begun
• Behavioral Education Systems & Technologies LLC

• Customized Equipment (DME) in Chino, CA
• Providers in Chino, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.