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MR. PEDRO D BAUTISTA
NPI 1689916561
Student in an Organized Health Care Education/Training Program in Modesto, CA

Active since March 19, 2013
2000 W BRIGGSMORE AVE, I, MODESTO, CA 95350(209) 526-1440(209) 550-4903 Get Directions Write a Review

NPPES record last updated: May 28, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Pedro D Bautista NPPES

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

MR. PEDRO D BAUTISTA (NPI 1689916561) is an individual student in an organized health care education/training program in Modesto, California and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1689916561
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. PEDRO D BAUTISTA
Location Address2000 W BRIGGSMORE AVE, IModesto, CA 95350-3839
Mailing Address2000 W Briggsmore Ave Ste IModesto, CA 95350-3839 · (209) 526-1440 · Fax (209) 550-4903
Phone(209) 526-1440
Fax(209) 550-4903
Sole ProprietorNo
Enumeration DateMarch 19, 2013
Last NPPES UpdateMay 28, 2015
✔ NPI 1689916561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2000 W BRIGGSMORE AVE, Modesto, CA 95350
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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.

GLADYS HOLMES L.M.F.T.
Marriage & Family Therapist
2000 W BRIGGSMORE AVE, SUITE I
MODESTO, CA 95350
Stanislaus County (209) 526-1440
KIMBERLEY ESPINOZA
Counselor (Addiction (Substance Use Disorder))
2000 W BRIGGSMORE AVE, SUITE I
MODESTO, CA 95350
Stanislaus County (209) 526-1476
PETER MALDONADO
Counselor (Addiction (Substance Use Disorder))
2000 W BRIGGSMORE AVE, SUITE I
MODESTO, CA 95350
Stanislaus County (209) 526-1476
MR. STEVEN ANDREW COLLINS MS
Marriage & Family Therapist
2000 W BRIGGSMORE AVE, SUITE I
MODESTO, CA 95350
Stanislaus County (209) 526-1440
KATIE KEO
Counselor (Professional)
2000 W BRIGGSMORE AVE, SUITE I
MODESTO, CA 95350
Stanislaus County (209) 526-1476
MS. BENJETTA YVETTE HARRISON
Counselor (Addiction (Substance Use Disorder))
2000 W BRIGGSMORE AVE, SUITE I
MODESTO, CA 95350
Stanislaus County (209) 526-1476
MARK HUDSON
Marriage & Family Therapist
2000 W BRIGGSMORE AVE, SUITE I
MODESTO, CA 95350
Stanislaus County (209) 526-1476
MR. MICHAEL K GREENLEE CADCII/CCJP
Counselor (Addiction (Substance Use Disorder))
2000 W BRIGGSMORE AVE, SUITE I
MODESTO, CA 95350
Stanislaus County (209) 526-1476

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 Pedro Bautista's NPI number?

The NPI number for Pedro Bautista is 1689916561. It was assigned to this individual provider in the NPPES registry on March 19, 2013.

Where is Pedro Bautista located?

Pedro Bautista practices at 2000 W Briggsmore Ave I, Modesto, CA 95350. The listed phone number is (209) 526-1440.

What is Pedro Bautista's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Pedro Bautista was last updated on May 28, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.