Healthcare Provider Details

I. General information

NPI: 1518874320
Provider Name (Legal Business Name): GREGORIA MAGNAYE BAUTISTA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 3RD ST
SAN FRANCISCO CA
94107-1214
US

IV. Provider business mailing address

401 3RD ST
SAN FRANCISCO CA
94107-1214
US

V. Phone/Fax

Practice location:
  • Phone: 415-281-5188
  • Fax: 415-861-0323
Mailing address:
  • Phone: 415-281-5188
  • Fax: 415-861-0323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number787162
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: