Active NPI
Jonnyce Bautista Laoag, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- San Jose, CA
National Provider Identifier
1972209906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95030556
- Practice address
- 322 Piercy Rd Ste a
San Jose, CA 95138-1401 - Phone
- (510) 875-7721
- Fax
- (408) 693-3619
- NPI assigned
- Feb 1, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95030556 | CA | Primary |
Addresses
Primary practice location
322 Piercy Rd Ste a
San Jose, CA 95138-1401
Mailing address
322 Piercy Rd Ste a
San Jose, CA 95138-1401
Phone (510) 875-7721
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95030556 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760054400000",
"number": "1972209906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 PIERCY RD STE A",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951381401",
"telephone_number": "510-875-7721",
"fax_number": "408-693-3619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 PIERCY RD STE A",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951381401",
"telephone_number": "510-875-7721",
"fax_number": "408-693-3619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAOAG",
"first_name": "JONNYCE",
"middle_name": "BAUTISTA",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-01",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95030556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.