David Bautista
Specialist • Modesto, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, David Bautista has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
David Bautista was a registered Specialist practicing in Modesto, CA. Throughout an active medical career spanning 14 years, David Bautista provided care at the practice location at 500 9TH ST until profile deactivation on 2022-01-17.
Practice Location & Contact Primary Location
500 9th St
Modesto, CA 953543428
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Modesto, CA
Practicing in Modesto, CA (6446 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Specialist
Counselor - Professional
Adult Companion
Social Worker - Clinical
Student in an Organized Health Care Education/Training Program
Social Worker
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 17, 2022
NPI status registered as active in NPPES database
Registered at 500 9TH ST, MODESTO, CA 953543428 (Tel: 2093411824)
Registered at 1777 NORWOOD HEIGHTS LN, CERES, CA 953071869 (Tel: 2097520106)
Recorded as DAVID BAUTISTA
Specialist
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1777 Norwood Heights Ln
Ceres, CA 953071869
Phone: 2097520106
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