Yessenia Viviana Bautista, is a
Marriage & Family Therapist based in Riverside, California. Yessenia Viviana Bautista is licensed to practice in * (Not Available) (license number 123126) and her current practice location is
525 Technology Ct Ste 105, Riverside, California. She can be reached at her office (for appointments etc.) via phone at
(951) 686-8500.
NPI number for Yessenia Viviana Bautista is 1053959403 and her current mailing address is 612 S Myrtle Ave Ste 100, Monrovia, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053959403.
Healthcare Provider's Profile
Full Name | Yessenia Viviana Bautista |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 525 Technology Ct Ste 105, Riverside, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053959403
- Provider Enumeration Date: 12/17/2019
- Last Update Date: 05/24/2024
Medical Identifiers
Medical identifiers for Yessenia Viviana Bautista such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053959403 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
106S00000X | Behavior Technician | (California) | Secondary |
106H00000X | Marriage & Family Therapist | 123126 (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Yessenia Viviana Bautista is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Yessenia Viviana Bautista, 612 S Myrtle Ave Ste 100, Monrovia, CA 91016-3406 Ph: () - | Yessenia Viviana Bautista, 525 Technology Ct Ste 105, Riverside, CA 92507-2181 Ph: (951) 686-8500 |
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