Maria Doreen Bautista, DENTIST

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

CA47689 Issued in CA

Practice address

980 King Drive #5
Daly City, CA 94015

Phone

(650) 878-1373

Fax

(650) 878-1198

NPI assigned

May 3, 2007

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

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942422563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 KING DRIVE #5",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "94015",
            "telephone_number": "650-878-1373",
            "fax_number": "650-878-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 KING DRIVE #5",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "94015",
            "telephone_number": "650-878-1373",
            "fax_number": "650-878-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "MARIA",
        "middle_name": "DOREEN",
        "name_prefix": "Dr.",
        "credential": "DENTIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "CA47689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annamarie Basco
• Mark Sterling Bason-Mitchell, M.D
• Jennifer Marie Batoy, PHARMD, BCPS
• Divine Grace Mendoza Bautista
• Maria Candie Bautista, N.P
• Noah Bautista, CMT
• Norielyn Bautista, CMT
• Bay Area Digestive Health Medical Group, Inc.
• Bay Area Family Practice Medical Group Inc
• Bay Area Obstetrics & Gynecology

• General Practice Dentistry in Daly City, CA
• Providers in Daly City, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.