DR. ERICKSON CRUZ BAUTISTA D.N.P
NPI 1285024083
Nurse Practitioner - Adult Health in Riverside, CA

Q: What is Erickson Bautista's NPI number?

The NPI number for Erickson Bautista is 1285024083. It was assigned to this individual provider in the NPPES registry on January 31, 2015.

Q: What is Erickson Bautista's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Erickson Bautista was last updated on May 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 31, 2015PECOS Enrolled

6926 BROCKTON AVE STE 8, RIVERSIDE, CA 92506(877) 414-7739 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 17, 2023, Oct 16, 2021, Jun 24, 2021 and 1 more (4 updates tracked since 2020).

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About Dr. Erickson Cruz Bautista D.n.p NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ERICKSON CRUZ BAUTISTA D.N.P (NPI 1285024083) is an individual adult health provider in Riverside, California, licensed in California (95002040) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285024083

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameDR. ERICKSON CRUZ BAUTISTACredential: D.N.P

Location Address6926 BROCKTON AVE STE 8Riverside, CA 92506-3804

Mailing Address18411 Crenshaw Blvd Ste 110Torrance, CA 90504-5078 · (310) 817-5665

Phone(877) 414-7739

Sole ProprietorNo

Enumeration DateJanuary 31, 2015

Last NPPES UpdateMay 17, 20234 updates tracked since enumeration

NPPES CertifiedMay 17, 2023

✔ NPI 1285024083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

Licenses✔ Licensed in CA · 95002040✔ Licensed in NV · 822775

Also ListedRegistered NurseTaxonomy 163W00000X · License 715867 (CA)

Also ListedRegistered Nurse · GerontologyTaxonomy 163WG0600X · License 822775 (NV)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 95002040 (CA)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 95002040 (CA), 822775 (NV)

6926 BROCKTON AVE STE 8, Riverside, CA 92506

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Erickson Cruz Bautista D.n.p is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. VANESSA RENEE SMITH CONSTANTINO FNP-C

Nurse Practitioner (Family)