Shaun Bautista

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ACSW130853 Issued in CA

Practice address

525 W Avenue P4
Palmdale, CA 93551-3743

Phone

(661) 272-9996

Fax

(661) 272-0438

NPI assigned

May 27, 2025

Sex

Male

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

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.

• All for Kids Organization

  • Community/Behavioral Health Agency
  • Palmdale, CA
  • NPI 1609902436
  NPD (past)

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1871386342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W AVENUE P4",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W AVENUE P4",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513743",
            "telephone_number": "661-272-9996",
            "fax_number": "661-272-0438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44443 10th St W",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935343346",
            "country_code": "US",
            "telephone_number": "661-233-2852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "SHAUN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-27",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ACSW130853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashwani Batra, NP
• Odessa Battle
• Michelle Batugo
• Melissa Bauer, PT, DPT
• Karlibeth Bautista
• Jessica Baxter
• Veronica Bayer
• Althea Mae Bontilao Bazar, PT
• Malena Giana Beard I, NONE
• Magdy Aziz Kerollos Bebawy, O.D

• Clinical Social Worker in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.