MEDICARE: MICHELLE 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	2865M2000X	Military General Acute Care Hospital		CA

General Provider Information

NPI Number	:	1316112311
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHELLE BAUTISTA

Provider Business Mailing Address
First Line	:	8707 TROY ST APT 105
Second Line	:
City	:	SPRING VALLEY
State	:	CA
Zip	:	91977-2503
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8707 TROY ST APT 105
Second Line	:
City	:	SPRING VALLEY
State	:	CA
Zip	:	91977-2503
Country	:	US
Telephone Number	:	619-741-8988
Fax Number	:

Authorized Official
Title or Position	:	CERTIFIED MEDICAL ASSISTANT
Name	:	MICHELLE BAUTISTA
Credential	:
Telephone Number	:	619-741-8988

Provider Enumeration Date	:	04/29/2008
Last Update Date	:	04/30/2008

Similar Medicare Providers

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1073612164 — RYAN COLE WILLIAMS PA.C
Practice Location Address:

2503 S GREGG ST , UNIT C
BIG SPRING, TX
79720-2549

Practice Phone: 325-658-1511
Practice Fax: 325-481-2166

1699009001 — MARCIE DIANNE LUSK DNP, APRN, FNP-C
Practice Location Address:

2503 S GREGG ST STE C
BIG SPRING, TX
79720-6583

Practice Phone: 432-606-5178
Practice Fax:

1609130301 — LAWRENCE DEVOLLD M.D.
Practice Location Address:

2503 S GREGG ST , UNIT C
BIG SPRING, TX
79720-6553

Practice Phone: 325-658-1511
Practice Fax: 325-481-2266

1326408956 — MR. STEVEN MAYBERRY II LMT
Practice Location Address:

2503 DENNIS AVE
SILVER SPRING, MD
20902-4920

Practice Phone: 301-717-9572
Practice Fax:

1255791893 — ELLEN MAYBERRY RMP
Practice Location Address:

2503 DENNIS AVE
SILVER SPRING, MD
20902-4920

Practice Phone: 301-801-8391
Practice Fax:

Directions to “MICHELLE 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.