JEREMIAH BAUTISTA RN, PHN, BSN
NPI 1306718804
Preventive Medicine - Public Health & General Preventive Medicine in San Leandro, CA

Q: What is Jeremiah Bautista's NPI number?

The NPI number for Jeremiah Bautista is 1306718804. It was assigned to this individual provider in the NPPES registry on September 23, 2025.

Q: What is Jeremiah Bautista's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

Q: When was this NPI record last updated?

The NPPES record for Jeremiah Bautista was last updated on September 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 23, 2025

1100 SAN LEANDRO BLVD, SAN LEANDRO, CA 94577(510) 267-3250 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jeremiah Bautista Rn, Phn, Bsn NPPES

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

JEREMIAH BAUTISTA RN, PHN, BSN (NPI 1306718804) is an individual public health & general preventive medicine provider in San Leandro, California, licensed in California (95198720) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1306718804

Entity TypeIndividualMale

Primary Taxonomy2083P0901X

Provider Legal NameJEREMIAH BAUTISTACredential: RN, PHN, BSN

Location Address1100 SAN LEANDRO BLVDSan Leandro, CA 94577-1595

Mailing Address561 Greg Thatch CirSacramento, CA 95835-2425 · (415) 519-1054

Phone(510) 267-3250

Sole ProprietorYes

Enumeration DateSeptember 23, 2025

NPPES CertifiedSeptember 23, 2025

✔ NPI 1306718804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083P0901X

License✔ Licensed in CA · 95198720

Definition

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

1100 SAN LEANDRO BLVD, San Leandro, CA 94577

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Other Providers at the Same Location NPPES 20

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

JONATHAN CAMPOS

Registered Nurse