Mary Stephanie Gangcaungco Bautista
COUNTY OF RIVERSIDE


Address: 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446
Phone: 9514714200

Mary Stephanie Gangcaungco Bautista (NPI# 1437506581, PAC ID# 8527331370) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1437506581
PAC ID by PECOS 8527331370
Professional Enrollment ID I20170830002268
Full Name Mary Stephanie Gangcaungco Bautista
Organization Legal Name COUNTY OF RIVERSIDE
Address 2499 E Lakeshore Dr
Lake Elsinore
CA 92530-4446
Phone Number 9514714200
Gender F
Graduation Year 2016
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 6507754488
Number of Group Practice Members 89
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 9514714200 COUNTY OF RIVERSIDE

Organization Information

Organization Legal Name COUNTY OF RIVERSIDE
Physicians 118

Physicians with the same organization

Name Specialty Organization Address
Walter Ernesto Hernandez Nurse Practitioner County of Riverside 3055 W Ramsey St, Banning, CA 92220-3781
Mildred Lotty Mendez-andrews Clinical Social Worker County of Riverside 1370 S State St, San Jacinto, CA 92583-4933
Eric F Ontiveros Clinical Social Worker County of Riverside 769 W Blaine St B, Riverside, CA 92507-3970
Barbara Jane Ganchingco Family Medicine County of Riverside 308 E San Jacinto Ave, Perris, CA 92570-2878
Intisar K Chamoun Clinical Social Worker County of Riverside 10186 Indiana Ave, Riverside, CA 92503-5304
Marc David Dobson Physician Assistant County of Riverside 47825 Oasis St, Indio, CA 92201-6950
Joseph P James Psychiatry County of Riverside 9990 County Farm Rd, Riverside, CA 92503-3542
Neeta Kumari Psychiatry County of Riverside 31760 Casino Dr, Lake Elsinore, CA 92530-4561
Kenoye R Uku Internal Medicine County of Riverside 7140 Indiana Ave, Riverside, CA 92504-4544
Minqi Hao Family Medicine County of Riverside 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446

Office Location

Street Address 2499 E LAKESHORE DR
City LAKE ELSINORE
State CA
Zip 92530-4446

Physicians in the same location

Name Specialty Organization Address
Minqi Hao Family Medicine County of Riverside 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446
Soheil Samvatian General Practice County of Riverside 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446
Ikechi O Obiocha Internal Medicine County of Riverside 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446
Sandar Kyi Family Medicine County of Riverside 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446

Physicians in the same zip code

Name Specialty Organization Address
William J Haneline Chiropractic 600 Central Ave G, Lake Elsinore, CA 92530-2740
Timothy J Kimble Chiropractic 600 Central Ave, Suite G, Lake Elsinore, CA 92530-2740
Scott M Dewenter Podiatry 600 Central Ave, Ste. G, Lake Elsnore, CA 92530-2740
Thomas E Oliveira Internal Medicine 506 W Graham Ave, Suite 107, Lake Elsinore, CA 92530-3600
Tyrone Enrique Arce Family Medicine 121 S Main St, Lake Elsinore, CA 92530-4108
Gabriel Colon Internal Medicine Dr. Javier Rios, A Medical Corporation 141 N Main St, Lake Elsinore, CA 92530-4118
Adolfo E Quiroga Physician Assistant Dr. Javier Rios, A Medical Corporation 141 N Main St, Lake Elsinore, CA 92530-4118
Gregorio Sosa Physician Assistant Dr. Javier Rios, A Medical Corporation 141 N Main St, Lake Elsinore, CA 92530-4118
Martha Evangeline Colunga Physician Assistant Dr. Javier Rios, A Medical Corporation 141 N Main St, Lake Elsinore, CA 92530-4118
Daisy Lizzette Torres Physician Assistant Dr. Javier Rios, A Medical Corporation 141 N Main St, Lake Elsinore, CA 92530-4118
Find all physicians in zip 92530

Competitor

Search similar physicians

City LAKE ELSINORE
Zip Code 92530
Specialty NURSE PRACTITIONER
City + Specialty LAKE ELSINORE + NURSE PRACTITIONER

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Dataset Information

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.

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