Stephanie Bautista, is a
Community Health Worker based in South San Francisco, California. Stephanie Bautista is licensed to practice in * (Not Available) (license number ) and her current practice location is
170 S Spruce Ave Ste 200, South San Francisco, California. She can be reached at her office (for appointments etc.) via phone at
(650) 517-8220.
NPI number for Stephanie Bautista is 1639812175 and her current mailing address is 1801 Vicente St, San Francisco, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639812175.
Healthcare Provider's Profile
Full Name | Stephanie Bautista |
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Gender | Female |
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Speciality | Community Health Worker |
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Location | 170 S Spruce Ave Ste 200, South San Francisco, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639812175
- Provider Enumeration Date: 04/13/2022
- Last Update Date: 04/14/2023
Medical Identifiers
Medical identifiers for Stephanie Bautista such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639812175 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
172V00000X | Community Health Worker | (* (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. Stephanie 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 |
Stephanie Bautista, 1801 Vicente St, San Francisco, CA 94116-2923 Ph: (415) 681-3211 | Stephanie Bautista, 170 S Spruce Ave Ste 200, South San Francisco, CA 94080-4557 Ph: (650) 517-8220 |
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