MR. MARLO BAUTISTA (NPI# 1528303914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528303914 |
Entity Type | Individual |
Full Name | MR. MARLO BAUTISTA |
Credential | RN |
Practice Address |
3205 N Lakewood Blvd Long Beach CA 90808-1733 |
Mailing Address |
1056 Belmont Ave Apt 203 Long Beach CA 90804-5938 |
Practice Telephone | 5625707119 |
Mailing Telephone | 5624724337 |
Enumeration Date | 2012-12-11 |
Last Update Date | 2012-12-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
594890 | CA | Nursing Service Providers |
Street Address |
3205 N LAKEWOOD BLVD |
City | LONG BEACH |
State | CA |
Zip Code | 90808-1733 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154337426 | Los Angeles County Department of Mental Health | Clinic/Center | 3205 N Lakewood Blvd, Long Beach, CA 90808-1733 | 2006-07-31 |
1912138991 | Lovella C Parcasio | Registered Nurse | 3205 N Lakewood Blvd, Long Beach, CA 90808-1733 | 2009-08-07 |
1982852109 | Emily Elizabeth Brennan | Social Worker | 3205 N Lakewood Blvd, Long Beach, CA 90808-1733 | 2008-08-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629558713 | Long Beach-lakewood Orthopedic Institute | Orthopaedic Surgery | 3828 Schaufele Ave Ste 320, Long Beach, CA 90808 | 2018-08-17 |
1376072710 | Premiere Cottages Inc. | Assisted Living Facility | 4815 Premiere Ave, Long Beach, CA 90808 | 2017-06-08 |
1760911184 | Collaborative Partners for Success, LLC | Speech-Language Pathologist | 3472 Tulane Avenue, Long Beach, CA 90808 | 2017-06-08 |
1942658604 | Susan S Orr | Physical Therapist | 3833 Worsham Ave #301, Long Beach, CA 90808 | 2016-06-02 |
1447611298 | Rac Brittany House | Alzheimer Center (Dementia Center) | 5641 Centralia Avenue, Long Beach, CA 90808 | 2016-03-08 |
1003234261 | Ray Ira Apter | Social Worker | 4333 N. Greenbrier Road, Long Beach, CA 90808 | 2014-04-03 |
1043590649 | Fonda Jiang | Allergy & Immunology | 3816 Woodruff Ave Ste 209, Long Beach, CA 90808 | 2011-08-26 |
1457640757 | Alexander Cristian Gavrila | Dentist | 4200 Lakewood Blvd, Long Beach, CA 90808 | 2011-04-07 |
1851629034 | Reyana Ewing | Dietitian, Registered | 4195 N Viking Way Ste D, Long Beach, CA 90808 | 2009-11-25 |
1548497597 | Veronika Lee Hoover | Social Worker | 4195 N. Viking Way, Suite F, Long Beach, CA 90808 | 2009-06-17 |
Find all providers in zip 90808 |
Taxonomy Code | 163WP0808X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679124044 | Eric Osterlind | Registered Nurse | 6695 E Pacific Coast Hwy Ste 135, Long Beach, CA 90803-4235 | 2019-09-26 |
1588102818 | Jeff Clement | Registered Nurse | 1824 Stearnlee Avenue, Long Beach, CA 90815 | 2017-02-07 |
1790074847 | Brendan C Hickey | Registered Nurse | College Medical Center- 2776 Pacific Ave, Medica Staffing Office, Long Beach, CA 90806 | 2011-03-29 |
1285763847 | Dere Randolph Bushey | Registered Nurse | 1437 N Studebaker Rd, Long Beach, CA 90815-4838 | 2007-03-02 |
1275623241 | Francis Earl Mullnix | Registered Nurse | 3544 Walnut Ave, Long Beach, CA 90807-4844 | 2006-10-13 |
1578185658 | Jacqueline Jines | Registered Nurse | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2020-05-12 |
1245864131 | John D Nguyen | Registered Nurse | 5901 E 7th St, Long Beach, CA 90822-5201 | 2020-02-28 |
1699325142 | Kyle Jame-hines Bescoby | Registered Nurse | 5901 E 7th St, Long Beach, CA 90822-5201 | 2019-09-17 |
1437709151 | Marietta Mantilla | Registered Nurse | 5901 E 7th St, Long Beach, CA 90822-5201 | 2019-09-14 |
1720637127 | Richard Justin Holmes I | Registered Nurse | 5901 E 7th St, Long Beach, CA 90822-5201 | 2019-09-09 |
Find all providers in LONG BEACH |
City | LONG BEACH |
Zip Code | 90808 |
Please comment or provide details below to improve the information on MR. MARLO BAUTISTA.
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.