Gerjel A Bautista, FNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95028414 Issued in CA

Practice address

2455 Sand Creek Rd Ste 144
Brentwood, CA 94513-7176

Phone

(925) 679-4876

Fax

(925) 679-4888

NPI assigned

Dec 19, 2023

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Parkhill Health IncGroup PAC ID 7810343480, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Parkhill Health Inc

  • Urgent Care Clinic/Center
  • Concord, CA
  • NPI 1801580006

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Professional Wound Specialists PC

  • Surgery Physician
  • Pomona, CA
  • NPI 1437988326

  Single Specialty

  Medicare reassignment NPD
• Ming-Wei Wu, Inc

  • Surgery Physician
  • Las Vegas, NV
  • NPI 1699975144

  CA, Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1992573984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 DUNMORE ST",
            "city": "OAKLEY",
            "state": "CA",
            "postal_code": "945612858",
            "telephone_number": "510-931-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 SAND CREEK RD STE 144",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945137176",
            "telephone_number": "925-679-4876",
            "fax_number": "925-679-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "GERJEL",
        "middle_name": "A",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-19",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95028414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Starice Barrett
• Sumaira Bashir
• Thalia Zoraima Batista
• Ronald Leonard Batkin, D.C.
• Lkhamdari Batmunkh
• Isabel Bautista
• Bay Area Angels Home Care
• Bay Area Retina Associates
• Bay Community Services Foundation
• Bay Imaging Consultants Medical Group Inc

• Primary Care Nurse Practitioner in Brentwood, CA
• Providers in Brentwood, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.