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MS. NANCY IVETTE BAUTISTA LCSW
NPI 1508100629
Social Worker - Clinical in Montebello, CA

Active since November 15, 2012PECOS Enrolled
1818 W BEVERLY BLVD STE 207, MONTEBELLO, CA 90640(562) 385-5532 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Nancy Ivette Bautista Lcsw NPPES

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

MS. NANCY IVETTE BAUTISTA LCSW (NPI 1508100629) is an individual clinical provider in Montebello, California, licensed in California (79400) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508100629
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. NANCY IVETTE BAUTISTACredential: LCSW
Location Address1818 W BEVERLY BLVD STE 207Montebello, CA 90640-3968
Mailing Address1818 W Beverly Blvd Ste 207Montebello, CA 90640-3968 · (562) 385-5532
Phone(562) 385-5532
Sole ProprietorNo
Enumeration DateNovember 15, 2012
Last NPPES UpdateFebruary 24, 2022
NPPES CertifiedFebruary 24, 2022
✔ NPI 1508100629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 79400
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1818 W BEVERLY BLVD STE 207, Montebello, CA 90640
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Nancy Ivette Bautista Lcsw 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.

Medicare Billing Reassignment

Medicare enrollment records show Nancy Bautista reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sud Specialty Group - Ca
318 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90640 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
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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

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

COUNSELORS FOR CHANGE INC., INDIVIDUAL AND FAMILY THERAPIST CO
Marriage & Family Therapist
1818 W BEVERLY BLVD STE 207
MONTEBELLO, CA 90640
Los Angeles County (213) 238-7502

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 Nancy Bautista's NPI number?

The NPI number for Nancy Bautista is 1508100629. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Where is Nancy Bautista located?

Nancy Bautista practices at 1818 W Beverly Blvd Ste 207, Montebello, CA 90640. The listed phone number is (562) 385-5532.

What is Nancy Bautista's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Nancy Bautista enrolled in Medicare?

Yes. Nancy Bautista is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nancy Bautista's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nancy Bautista reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nancy Bautista's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nancy Bautista was last updated on February 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.