Leslie Bautista

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

6809 Indiana Ave # 130-B26
Riverside, CA 92506-4221

Phone

(951) 382-4842

NPI assigned

Jan 18, 2018

Sex

Female

Sole proprietor

Yes

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)

Enrolled

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1649788167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6809 INDIANA AVE # 130-B26",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064221",
            "telephone_number": "951-382-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6809 INDIANA AVE # 130-B26",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064221",
            "telephone_number": "951-382-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "LESLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Oscar Bautista
• Elizabeth Bautista
• Emily Bautista
• Erickson Cruz Bautista, D.N.P
• Erika Bautista
• Luis Oscar Bautista, MD
• Marjorie Bautista, DPT
• Rocio Bautista
• Sophia Bautista
• Yessenia Viviana Bautista

• Mental Health Counselor in Riverside, CA
• Providers in Riverside, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.