Search › California › 106S00000X
Jack Bautista
NPI 1669026753 · on the registry since 2019
Practice
- Address
- 1149 A St
Hayward, CA 94541 - Phone
- (510) 901-2050
- Clinicians at this address
- 97
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-07-28
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