Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JUDIE BANTOLINO MABUTAS
NPI 1578478814
Licensed Vocational Nurse in San Francisco, CA

Q: What is Judie Mabutas's NPI number?

The NPI number for Judie Mabutas is 1578478814. It was assigned to this individual provider in the NPPES registry on August 18, 2026.

Q: What is Judie Mabutas's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Judie Mabutas was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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 August 18, 2026

4150 CLEMENT ST, SAN FRANCISCO, CA 94121(415) 221-4810 Get Directions Write a Review

NPPES record added: August 18, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Judie Bantolino Mabutas NPPES

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

JUDIE BANTOLINO MABUTAS (NPI 1578478814) is an individual licensed vocational nurse in San Francisco, California, licensed in California (185289) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1578478814

Entity TypeIndividualMale

Primary Taxonomy164X00000X

Provider Legal NameJUDIE BANTOLINO MABUTAS

Location Address4150 CLEMENT STSan Francisco, CA 94121-1563

Mailing Address4150 Clement StSan Francisco, CA 94121-1563 · (415) 221-4810

Phone(415) 221-4810

Sole ProprietorNo

Enumeration DateAugust 18, 2026

NPPES CertifiedAugust 18, 2026

✔ NPI 1578478814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in CA · 185289

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

4150 CLEMENT ST, San Francisco, CA 94121

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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.

MR. SHANNON KISSINGER MSW

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