Healthcare Provider Details

I. General information

NPI: 1457551871
Provider Name (Legal Business Name): ANN MARIE BAUTISTA SENIOR CLERK TYPIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2007
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1990 41ST AVE
SAN FRANCISCO CA
94116-1101
US

IV. Provider business mailing address

1990 41ST AVE
SAN FRANCISCO CA
94116-1101
US

V. Phone/Fax

Practice location:
  • Phone: 415-753-7400
  • Fax: 415-753-0164
Mailing address:
  • Phone: 628-754-8400
  • Fax: 415-753-0164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246Y00000X
TaxonomyHealth Information Specialist/Technologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: