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Search › California › 2080N0001X

Geoanna Marie Bautista, M.D

NPI 1427444769 · on the registry since 2015 · sole proprietor

Practice

Address
2516 Stockton Blvd
Sacramento, CA 95817
Phone
(916) 734-3891
Fax
(916) 456-2236
Clinicians at this address
211

Additional practice sites

  • 2160 S 1st Ave, Maywood, IL

Registry record

Primary taxonomy
2080N0001X
2080N0001X
Also registered as
208000000X
390200000X
Licence states on file
IL, CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-04-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California