MEDICARE: MAREYNAL BERNARDO BAUTISTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	F01240217	CA

General Provider Information

NPI Number	:	1003679291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAREYNAL BERNARDO BAUTISTA

Provider Business Mailing Address
First Line	:	18019 CROSSHAVEN DR
Second Line	:
City	:	ROWLAND HEIGHTS
State	:	CA
Zip	:	91748-2546
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	18019 CROSSHAVEN DR
Second Line	:
City	:	ROWLAND HEIGHTS
State	:	CA
Zip	:	91748-2546
Country	:	US
Telephone Number	:	626-641-1805
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2024
Last Update Date	:	02/01/2024

Similar Medicare Providers

1598530917 — ELISA MARIE PALABYAB ORONICO
Practice Location Address:

18035 CROSSHAVEN DR
ROWLAND HEIGHTS, CA
91748-2546

Practice Phone: 626-347-8528
Practice Fax:

1912625088 — JASMINE KOCHHEISER
Practice Location Address:

4901 TURNEY RD
GARFIELD HEIGHTS, OH
44125-2546

Practice Phone: 216-633-1334
Practice Fax:

1790656361 — TEMPRESS PARKER
Practice Location Address:

3251 WASHINGTON BLVD
CLEVELAND HEIGHTS, OH
44118-2546

Practice Phone: 216-797-0849
Practice Fax:

1346106390 — ALL WELL COMMUNITY HEALTH CENTER
Practice Location Address:

19267 COLIMA RD STE E
ROWLAND HEIGHTS, CA
91748-3007

Practice Phone: 626-283-1900
Practice Fax:

1609734029 — JANIS ZHIYING GUO
Practice Location Address:

19153 COLIMA RD
ROWLAND HEIGHTS, CA
91748-3003

Practice Phone: 626-820-9313
Practice Fax:

1336007434 — MRS. CECILE ROSE CO AVILA NP
Practice Location Address:

18600 COLIMA RD APT N208
ROWLAND HEIGHTS, CA
91748-2877

Practice Phone: 213-989-6100
Practice Fax: 626-495-3924

Directions to “ MAREYNAL BERNARDO BAUTISTA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.