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JADE BAUTISTA PHARMD
NPI 1396629143
Pharmacist - Ambulatory Care in San Bruno, CA

Active since August 04, 2025
901 EL CAMINO REAL, SAN BRUNO, CA 94066(650) 742-2100 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jade Bautista Pharmd NPPES

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

JADE BAUTISTA PHARMD (NPI 1396629143) is an individual ambulatory care provider in San Bruno, California, licensed in California (89830) and active in the NPI registry since August 2025. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396629143
Entity TypeIndividualFemale
Primary Taxonomy1835P2201X
Provider Legal NameJADE BAUTISTACredential: PHARMD
Location Address901 EL CAMINO REALSan Bruno, CA 94066-3009
Mailing Address1203 David Senft LnTracy, CA 95304-5994 · (408) 818-0399
Phone(650) 742-2100
Sole ProprietorNo
Enumeration DateAugust 4, 2025
NPPES CertifiedAugust 4, 2025
✔ NPI 1396629143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Ambulatory CarePharmacy Service Providers
Taxonomy Code1835P2201X
License✔ Licensed in CA · 89830
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community.
901 EL CAMINO REAL, San Bruno, CA 94066
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11200 El Camino RealSouth San Francisco, CA 94080-3299 · Phone (650) 742-2000
Location 2395 Hickey BlvdDaly City, CA 94015-2770 · Phone (650) 301-5860

Other Providers at the Same Location NPPES 10

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

KAISER FOUNDATION HEALTH PLAN INC
Pharmacy (Community/Retail Pharmacy)
901 EL CAMINO REAL
SAN BRUNO, CA 94066
San Mateo County (650) 742-1360
JAIRYLE JAEN DACUTANAN JOSUE DPT
Physical Therapist
901 EL CAMINO REAL
SAN BRUNO, CA 94066
San Mateo County (650) 742-2100
LALYN BONIFACIO
Pharmacist
901 EL CAMINO REAL
SAN BRUNO, CA 94066
San Mateo County (650) 742-1388
JADE RAMOS-POBLETE M.D.
Internal Medicine
901 EL CAMINO REAL
SAN BRUNO, CA 94066
San Mateo County (650) 742-2100
MS. LINDA S LYONS LCSW
Social Worker
901 EL CAMINO REAL
SAN BRUNO, CA 94066
San Mateo County (650) 742-3130
JACQUELINE MIODOWNIK-AISENBERG MD
Internal Medicine
901 EL CAMINO REAL
SAN BRUNO, CA 94066
San Mateo County (650) 742-2100
NANCY KONG PHARMD
Pharmacist
901 EL CAMINO REAL
SAN BRUNO, CA 94066
San Mateo County (650) 742-2000
AYAKO OTA
Physical Therapist
901 EL CAMINO REAL
SAN BRUNO, CA 94066
San Mateo County (650) 742-2100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jade Bautista's NPI number?

The NPI number for Jade Bautista is 1396629143. It was assigned to this individual provider in the NPPES registry on August 4, 2025.

Where is Jade Bautista located?

Jade Bautista practices at 901 El Camino Real, San Bruno, CA 94066. The listed phone number is (650) 742-2100.

What is Jade Bautista's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Ambulatory Care, with taxonomy code 1835P2201X.

When was this NPI record last updated?

The NPPES record for Jade Bautista was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.