Haley Bautista, PPS

Primary specialty

School CounselorTaxonomy code 101YS0200X

License

200139335 Issued in CA

Practice address

41717 Palm Ave
Fremont, CA 94539-4722

Phone

(510) 657-3600

NPI assigned

Nov 20, 2024

Sex

Female

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

State licenses

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.

• City of Fremont

  • Community/Behavioral Health Agency
  • Fremont, CA
  • NPI 1801277223
  NPD

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1780409102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41717 PALM AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945394722",
            "telephone_number": "510-657-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41717 PALM AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945394722",
            "telephone_number": "510-657-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "HALEY",
        "credential": "PPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "CA",
            "license": "200139335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bates Chiropractic Center Inc
• Martin K Bates, DC
• David Mark Bauer, D.D.S.
• Kevin Douglas Bauer, M.D.
• Abigal Bautista, PTA
• Rachelle Mitzi Franco Bautista
• Virgilio Serra Bautista, D.M.D.
• Bay Area Cardiovascular Medical Group
• Bay Area Community Health
• Bay Area Community Health

• All providers in Fremont, CA
• School Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.