EDDIE BAUTISTA
NPI 1699956821
Marriage & Family Therapist in Santa Cruz, CA

Q: What is Eddie Bautista's NPI number?

The NPI number for Eddie Bautista is 1699956821. It was assigned to this individual provider in the NPPES registry on November 15, 2007.

Q: What is Eddie Bautista's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Eddie Bautista was last updated on September 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 15, 2007

1400 EMELINE AVE, SANTA CRUZ, CA 95060(831) 454-4954 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 14, 2022, Oct 17, 2019, Sep 30, 2019 and 1 more (4 updates tracked since 2018).

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About Eddie Bautista NPPES

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

EDDIE BAUTISTA (NPI 1699956821) is an individual marriage & family therapist in Santa Cruz, California, licensed in California (115785) and active in the NPI registry since November 2007. He maintains a secondary practice location in Salinas.

NPPES Registry Identity

NPI1699956821

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameEDDIE BAUTISTA

Location Address1400 EMELINE AVESanta Cruz, CA 95060-1976

Mailing AddressPo Box 2135Watsonville, CA 95077-2135 · (831) 318-0844

Phone(831) 454-4954

Sole ProprietorNo

Enumeration DateNovember 15, 2007

Last NPPES UpdateSeptember 14, 20224 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2022

✔ NPI 1699956821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in CA · 115785✔ Licensed in CA · AMFT98431

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

1400 EMELINE AVE, Santa Cruz, CA 95060

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Secondary Practice Location 1

Location 1306 Capitol St # 205Salinas, CA 93901-2604 · Phone (831) 318-0844

Other Identifiers 1

Other1659315430CA · Clinic/center Npi#

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.

ESMERALDA ALFARO

Technician, Health Information (Assistant Record Technician)