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EDUARDO BAUTISTA RADT
NPI 1700355633
Counselor - Addiction (Substance Use Disorder) in Indio, CA

Active since November 20, 2018
44359 PALM ST, INDIO, CA 92201(760) 342-6616 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 5, 2025, Nov 20, 2018 (2 updates tracked since 2018).

About Eduardo Bautista Radt NPPES

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

EDUARDO BAUTISTA RADT (NPI 1700355633) is an individual addiction (substance use disorder) provider in Indio, California, licensed in California (R1561100524) and active in the NPI registry since November 2018. He maintains a secondary practice location in Palm Springs.

NPPES Registry Identity

NPI1700355633
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameEDUARDO BAUTISTACredential: RADT
Location Address44359 PALM STIndio, CA 92201-3116
Mailing Address44359 Palm StIndio, CA 92201-3116 · (760) 342-6616
Phone(760) 342-6616
Sole ProprietorNo
Enumeration DateNovember 20, 2018
Last NPPES UpdateMay 5, 20252 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
✔ NPI 1700355633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R1561100524
Also ListedBehavior TechnicianTaxonomy 106S00000X · License R1561100524 (CA)
44359 PALM ST, Indio, CA 92201
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Secondary Practice Location 1

Location 13605 E Ramon RdPalm Springs, CA 92264-1150 · Phone (760) 325-5630 · Fax (760) 325-5668

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.

ASHLEY MIRANDA LVN
Licensed Vocational Nurse
44359 PALM ST
INDIO, CA 92201
Riverside County (760) 342-6616
RAFAEL ALVAREZ
Peer Specialist
44359 PALM ST
INDIO, CA 92201
Riverside County (760) 668-4479
HEIDI CHRISTINE FLORES
Licensed Vocational Nurse
44359 PALM ST
INDIO, CA 92201
Riverside County (760) 342-6616
DEBORAH ANN MORAN-VILLARREAL LVN
Licensed Vocational Nurse
44359 PALM ST
INDIO, CA 92201
Riverside County (760) 342-6616
MRS. MARCI BERRY
Counselor (Addiction (Substance Use Disorder))
44359 PALM ST
INDIO, CA 92201
Riverside County (310) 779-1947
IRENE MICHELLE ROJAS
Counselor (Addiction (Substance Use Disorder))
44359 PALM ST
INDIO, CA 92201
Riverside County (760) 342-6616
NYDIA ELLENA MARAVILLA RADT
Behavior Technician
44359 PALM ST
INDIO, CA 92201
Riverside County (760) 342-6616
DIANA OLIGER
Social Worker (Clinical)
44359 PALM ST
INDIO, CA 92201
Riverside County (760) 342-6616

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 Eduardo Bautista's NPI number?

The NPI number for Eduardo Bautista is 1700355633. It was assigned to this individual provider in the NPPES registry on November 20, 2018.

Where is Eduardo Bautista located?

Eduardo Bautista practices at 44359 Palm St, Indio, CA 92201. The listed phone number is (760) 342-6616.

What is Eduardo Bautista's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Eduardo Bautista was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.