JANICE BAUTISTA (NPI# 1326699372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326699372 |
| Entity Type | Individual |
| Full Name | JANICE BAUTISTA |
| Credential | PA-C |
| Practice Address |
9064 Van Nuys Blvd Panorama City CA 91402-1813 |
| Mailing Address |
38780 Trade Center Dr # 1c Palmdale CA 93551-3641 |
| Practice Telephone | 8188929000 |
| Mailing Telephone | 6619475600 |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2020-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124379573 | Janice Humiding Bautista | Nurse Practitioner | 444 Neptune Blvd 2nd Floor, Neptune, NJ 07753-4121 | 2012-09-25 |
| Street Address |
9064 VAN NUYS BLVD |
| City | PANORAMA CITY |
| State | CA |
| Zip Code | 91402-1813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548211436 | Kami Adibi | Family Medicine | 9064 Van Nuys Blvd, Panorama City, CA 91402-1813 | 2006-05-15 |
| 1265851471 | Kami Adibi Md, Inc | Clinic/Center | 9064 Van Nuys Blvd, Panorama City, CA 91402-1813 | 2014-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457900979 | Natalie Levine | Physician Assistant | 9140 Van Nuys Blvd Ste 207, Panorama City, CA 91402 | 2019-09-06 |
| 1609423912 | Jannet De La Torre | Student in an Organized Health Care Education/Training Program | 8018 Broadleaf Ave., Panorama City, CA 91402 | 2019-08-21 |
| 1659838258 | Carlota Andon | Psychologist | 14907 Willard St., Panorama City, CA 91402 | 2019-03-01 |
| 1477037471 | Lisa Diaz | Respiratory Therapist, Registered | 13651 Cantara St, Panorama City, CA 91402 | 2018-09-17 |
| 1124500665 | Luis Valentine Ascencio Jr. | Respiratory Therapist, Certified | Southern Calif. Kaiser Permanente Hospital, 8110 Woodman Ave Building 5, Panorama City, CA 91402 | 2018-08-31 |
| 1669951562 | Floyd Bailey | Respiratory Therapist, Registered | 8110 Woodman Ave Bldg 5, Panorama City, CA 91402 | 2018-08-10 |
| 1265910285 | St. Rita's Congregate, Inc. | Nursing Facility/Intermediate Care Facility | 7818 Allott Ave, Van Nuys, CA 91402 | 2018-08-01 |
| 1255834370 | Bishoy Saad | Student in an Organized Health Care Education/Training Program | 8435 Minuet Pl, Panorama City, CA 91402 | 2018-03-15 |
| 1376080309 | International Pre-diabetes Center Inc | Registered Nurse | 14500 Roscoe Blvd., 4th Floor, 4th Floor, Panorama City, CA 91402 | 2017-01-29 |
| 1023489176 | Jane Ryang | Pharmacist | 13652 Cantara Street, Mo4 Room 105, Panorama City, CA 91402 | 2015-10-15 |
| Find all providers in zip 91402 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154867026 | Ellen Aylin Dao Ngo | Physician Assistant | 8933 Sylmar Ave, Panorama City, CA 91402-2536 | 2017-01-16 |
| 1093258956 | Bennie-john Milan | Physician Assistant | 8352 Hazeltine Ave, Panorama City, CA 91402-3758 | 2016-11-28 |
| 1417283508 | Jessica M Valdez | Physician Assistant | 8771 Van Nuys Blvd, Panorama City, CA 91402-2401 | 2009-10-23 |
| 1528095866 | Zolissa Fernando | Physician Assistant | 14427 Chase St, Ste.100, Panorama City, CA 91402-3020 | 2006-06-26 |
| 1629698618 | Doan Hanh Pham | Physician Assistant | 8727 Van Nuys Blvd, Panorama City, CA 91402-2451 | 2020-04-20 |
| 1477186385 | Amiko Gomez Hidaka | Physician Assistant | 8727 Van Nuys Blvd, Panorama City, CA 91402-2451 | 2020-02-19 |
| 1821307109 | Kathleen Kleckner | Physician Assistant | 14860 Roscoe Blvd, Suite 304, Panorama City, CA 91402-4665 | 2010-10-04 |
| 1104027093 | Gary Davidson | Physician Assistant | 13652 Cantara St, Panorama City, CA 91402-5423 | 2007-05-30 |
| 1376669515 | Melissa Haney | Physician Assistant | 13652 Cantara St, Panorama City, CA 91402-5423 | 2007-03-21 |
| 1093831232 | Joseph L Sendrow | Physician Assistant | 13652 Cantara St, Panorama City, CA 91402-5423 | 2007-03-21 |
| Find all providers in PANORAMA CITY | ||||
| City | PANORAMA CITY |
| Zip Code | 91402 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.