Rainier Dennis Dimaandal Bautista (NPI# 1962766972, PAC ID# 5991014482) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1962766972 |
| PAC ID by PECOS | 5991014482 |
| Professional Enrollment ID | I20151023001149 |
| Full Name | Rainier Dennis Dimaandal Bautista |
| Organization Legal Name | CHARLIE Y SONIDO MD LLC |
| Address |
3216 Elua St Lihue HI 96766-1213 |
| Phone Number | 8082463800 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8224931928 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 120014 | WILCOX MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3216 Elua St, Lihue, HI 96766-1213 | 8082463800 | CHARLIE Y SONIDO MD LLC |
| Organization Legal Name | CHARLIE Y SONIDO MD LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jon Avery Tan Go | Internal Medicine | Charlie Y Sonido Md LLC | 94 -837 Waipahu St, Waipahu, HI 96797-3320 |
| Dennis R Scheppers | Family Medicine | Charlie Y Sonido Md LLC | 3216 Elua St, Lihue, HI 96766-1213 |
| Bernice C Yap | Family Medicine | Charlie Y Sonido Md LLC | 3216 Elua St, Lihue, HI 96766-1213 |
| John S Wichmann-walczak | General Practice | Charlie Y Sonido Md LLC | 94 -837 Waipahu St, Waipahu, HI 96797-3320 |
| Charlie Sonido | Internal Medicine | Charlie Y Sonido Md LLC | 3216 Elua St, Lihue, HI 96766-1213 |
| Edward S Lanson | General Practice | Charlie Y Sonido Md LLC | 3216 Elua St, Lihue, HI 96766-1213 |
| Street Address |
3216 ELUA ST |
| City | LIHUE |
| State | HI |
| Zip | 96766-1213 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dennis R Scheppers | Family Medicine | Charlie Y Sonido Md LLC | 3216 Elua St, Lihue, HI 96766-1213 |
| Bernice C Yap | Family Medicine | Charlie Y Sonido Md LLC | 3216 Elua St, Lihue, HI 96766-1213 |
| Charlie Sonido | Internal Medicine | Charlie Y Sonido Md LLC | 3216 Elua St, Lihue, HI 96766-1213 |
| Edward S Lanson | General Practice | Charlie Y Sonido Md LLC | 3216 Elua St, Lihue, HI 96766-1213 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randall C Blake | Urology | Island Urology Oahu LLC | 3-3295 Kuhio Hwy 203, Lihue, HI 96766-1035 |
| Liliane L Kheng | Family Medicine | Hawaii Family Medical Centers | 3-3295 Kuhio Hwy, Lihue, HI 96766-1040 |
| Raymond Joseph Martinez | Family Medicine | Hawaii Family Medical Centers | 3-3295 Kuhio Hwy, Lihue, HI 96766-1040 |
| Karen J Young | Certified Registered Nurse Anesthetist (crna) | 3-3420 Kuhio Hwy, Lihue, HI 96766-1042 | |
| Nicholas M Leonard | Emergency Medicine | Kauai Medical Clinic | 3-3420 Kuhio Hwy B, Lihue, HI 96766-1098 |
| Robert Todd Mathis | Obstetrics/gynecology | Kauai Medical Clinic | 3-3420 Kuhio Hwy B, Lihue, HI 96766-1098 |
| Jennifer A Ballard | Nurse Practitioner | Kauai Medical Clinic | 3-3420 Kuhio Hwy B, Lihue, HI 96766-1098 |
| Summer Douban | Internal Medicine | Kauai Medical Clinic | 3-3420 Kuhio Hwy B, Lihue, HI 96766-1098 |
| Ryan G Mcmorries | Emergency Medicine | Kauai Medical Clinic | 3-3420 Kuhio Hwy B, Lihue, HI 96766-1098 |
| Joseph W Burris Jr. | Emergency Medicine | Kauai Medical Clinic | 3-3420 Kuhio Hwy B, Lihue, HI 96766-1098 |
| Find all physicians in zip 96766 | |||
| City | LIHUE |
| Zip Code | 96766 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LIHUE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Rainier Dennis Dimaandal Bautista.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.