Kimberly Anne Bautista VII, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95015450 Issued in CA

Practice address

20911 Earl St Ste 140
Torrance, CA 90503-4353

Phone

(310) 542-0199

Fax

(310) 542-4652

NPI assigned

Sep 23, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kbautista@rozeroomhospice.org

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.

• Genesis Healthcare Partners PC

  • Specialist
  • Encinitas, CA
  • NPI 1548567498
  NPD
• Roze Room Hospice of the Valley Inc

  dba Roze Room Hospice of the Valley

  • Community Based Hospice Care Agency
  • Reseda, CA
  • NPI 1669474987
  NPD (past)

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1730339086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845996",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900845996",
            "telephone_number": "858-888-7700",
            "fax_number": "858-221-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20911 EARL ST STE 140",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034353",
            "telephone_number": "310-542-0199",
            "fax_number": "310-542-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "name_suffix": "VII",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "735667",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95015450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kbautista@rozeroomhospice.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health information",
            "address_1": "18107 Sherman Way Ste 200",
            "city": "Reseda",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913358802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elaine Mara Bauer, MA, CCC-SLP
• Emily Elizabeth Baumgartner
• Ashley Bautista, PHARMD
• Cynthia Vanessa Bautista
• Janet McCaw Bautista, PHARMD
• Maria Briones Bautista
• Michelle Bautista, NP
• Miguel Angel Jr Bautista
• Myra Lynn Baxter
• Bay City Surgery Center Inc.

• Family Nurse Practitioner in Torrance, CA
• Providers in Torrance, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.