DR. EVANGELINE GUTIERREZ BAUTISTA (NPI# 1912935842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912935842 |
| Entity Type | Individual |
| Full Name | DR. EVANGELINE GUTIERREZ BAUTISTA |
| Credential | M.D. |
| Practice Address |
3631 Crenshaw Blvd Suite 109 Los Angeles CA 90016-4869 |
| Mailing Address |
201 E Angeleno Ave Unit 203 Burbank CA 91502-2947 |
| Practice Telephone | 3237341414 |
| Mailing Telephone | 8188462116 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | C50704 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3631 CRENSHAW BLVD SUITE 109 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90016-4869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477554616 | Kevin A Brown | Family Medicine | 3631 Crenshaw Blvd, #110, Los Angeles, CA 90016-4869 | 2005-08-10 |
| 1437703014 | Arys Dembekjian | Dentist | 3631 Crenshaw Blvd, Los Angeles, CA 90016-4869 | 2019-07-31 |
| 1932568284 | Sabrina Moiseyev | Nurse Practitioner | 3631 Crenshaw Blvd, #109, Los Angeles, CA 90016-4869 | 2016-02-15 |
| 1417346305 | Crenshaw Pharmacy Inc | Pharmacy | 3631 Crenshaw Blvd, Ste 111, Los Angeles, CA 90016-4869 | 2015-01-14 |
| 1063836120 | Shary Joseph | Nurse Practitioner | 3631 Crenshaw Blvd, Los Angeles, CA 90016-4869 | 2014-02-10 |
| 1811339799 | Cynthia Lynn Courtney | Nurse Practitioner | 3631 Crenshaw Blvd, 109, Los Angeles, CA 90016-4869 | 2013-07-22 |
| 1063695302 | Boris Berzon Md Inc | Clinic/Center | 3631 Crenshaw Blvd, Ste 102 103, Los Angeles, CA 90016-4869 | 2007-12-10 |
| 1578763207 | Benevolence Industries Incorporated | Clinic/Center | 3631 Crenshaw Blvd, 109, Los Angeles, CA 90016-4869 | 2007-07-20 |
| 1982616793 | Milo M Webber M D, Inc | Specialist | 3631 Crenshaw Blvd, Suite 103, Los Angeles, CA 90016-4869 | 2006-08-12 |
| 1891730883 | Milo Melvin Webber | Specialist | 3631 Crenshaw Blvd, Suite # 103, Los Angeles, CA 90016-4869 | 2006-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790334134 | Rodef & Yousefi Dental Corporation | Dentist | 3736 Crenshaw Blvd, Los Angeles, CA 90016 | 2019-09-09 |
| 1891278016 | Harold Ringgold Jr. | Counselor | 5220 Washington Ste 101 &104, Los Angeles, CA 90016 | 2018-09-13 |
| 1477085330 | Nyul Aegd | Student in an Organized Health Care Education/Training Program | 3743 S Labrea Avenue, Los Angeles, CA 90016 | 2017-03-30 |
| 1770978876 | Alexander Delacruz Jr. | Nutritionist | 2336 Crenshaw Blvd, Suite 101, Los Angeles, CA 90016 | 2015-04-06 |
| 1518358670 | Henry Bratton | Counselor | 2017 Westview Street, Los Angeles, CA 90016 | 2015-02-11 |
| 1063819084 | Karina Ann Chandler-ziegler | Counselor | 5220 Washington Street, Ste. 101, Los Angeles, CA 90016 | 2014-11-20 |
| 1801299136 | Smith Medical Management | Clinical Medical Laboratory | 2953 Palm Grove Ave, Los Angeles, CA 90016 | 2014-10-01 |
| 1366844144 | No Dorm Inc. | Assisted Living Facility | 5222 Washington Blvd., Los Angeles, CA 90016 | 2014-09-23 |
| 1891120853 | Margaret Yarbrough | General Practice | 3717 S. Labrea, #341, Los Angeles, CA 90016 | 2013-09-10 |
| 1821422346 | Circle of Help Foundation | Community/Behavioral Health | 4701 Rodeo Rd., Room #2, #3, Los Angeles, CA 90016 | 2013-09-03 |
| Find all providers in zip 90016 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063923 | Claude Kathy Marquis | Family Medicine | 400 S June St, Los Angeles, CA 90020-4812 | 2020-11-03 |
| 1376159939 | Margarette Morney-kuanyawo | Family Medicine | 515 S Fuller Ave, Los Angeles, CA 90036-3244 | 2020-09-18 |
| 1780207803 | Julia Solis | Family Medicine | 1414 S Grand Ave Ste 200&380, Los Angeles, CA 90015-3067 | 2020-05-22 |
| 1033739578 | Now Medical | Family Medicine | 1333 S Hill St, Los Angeles, CA 90015-3012 | 2020-04-24 |
| 1710514930 | Los Angeles Medical Center Foundation | Family Medicine | 2010 Wilshire Blvd Fl 2, Los Angeles, CA 90057-3507 | 2020-03-26 |
| 1740817212 | Quality Medical Group Inc | Family Medicine | 5230 Pacific Concourse Dr Ste 110, Los Angeles, CA 90045-6258 | 2020-03-25 |
| 1760012108 | Majid Sabour Md. PC. | Family Medicine | 1125 S Beverly Dr Ste 420, Los Angeles, CA 90035-1191 | 2020-01-24 |
| 1164061461 | Sequoia Quality Health Inc | Family Medicine | 2007 Wilshire Blvd Fl 3, Los Angeles, CA 90057-3519 | 2020-01-03 |
| 1437792447 | Northeast Community Clinic | Family Medicine | 1414 S Grand Ave Ste 300, Los Angeles, CA 90015-3072 | 2019-10-22 |
| 1386298867 | Prompt Healthcare, Inc., A Medical Corporation | Family Medicine | 1972 West 48th Street, #a, Los Angeles, CA 90062 | 2019-08-01 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90016 |
Please comment or provide details below to improve the information on DR. EVANGELINE GUTIERREZ 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.