Mario Bautista

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

501 N Crescent Way
Anaheim, CA 92801-5401

Phone

(714) 296-8971

NPI assigned

Jul 30, 2025

Sex

Unspecified or another gender identity

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

Practice roles

Locations

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.

• Anaheim Union High School District

  • Point of Service
  • Anaheim, CA
  • NPI 1033964531
  NPD
• Anaheim Union High School District

  • Local Education Agency (LEA)
  • Anaheim, CA
  • NPI 1144368093
  NPD (past)

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1649153149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N CRESCENT WAY",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015401",
            "telephone_number": "714-296-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N CRESCENT WAY",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015401",
            "telephone_number": "714-296-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "MARIO",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allan Bautista, LVN
• Celia Salvador Bautista, RN
• Francisco Bautista Jr.
• Jefferson Aquino Bautista, NP-BC
• Lori Bautista
• Robert M. Bautista, MD
• Vernice Marie Aquino Bauzon, N.P.
• Hajra Bawany, RDN
• Yusuf Bayindir
• Sherry Baylon

• Psychologist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.