Sandy Bautista, is a
Physician Assistant - Medical based in Santa Fe Springs, California. Sandy Bautista is licensed to practice in * (Not Available) (license number ) and her current practice location is
11111 Bloomfield Ave, Santa Fe Springs, California. She can be reached at her office (for appointments etc.) via phone at
(562) 906-2685.
NPI number for Sandy Bautista is 1467235432 and her current mailing address is 12070 Telegraph Rd, Santa Fe Springs, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467235432.
Healthcare Provider's Profile
| Full Name | Sandy Bautista |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant - Medical |
|---|
| Location | 11111 Bloomfield Ave, Santa Fe Springs, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1467235432
- Provider Enumeration Date: 08/15/2023
- Last Update Date: 07/11/2024
Medical Identifiers
Medical identifiers for Sandy Bautista such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467235432 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (* (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. Sandy 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 |
|---|
Sandy Bautista,
12070 Telegraph Rd,
Santa Fe Springs, CA 90670-3771
Ph: (562) 777-7500 | Sandy Bautista,
11111 Bloomfield Ave,
Santa Fe Springs, CA 90670-4655
Ph: (562) 906-2685 |
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