DR. EVANGELINE GUTIERREZ BAUTISTA M.D.
NPI 1912935842
Family Medicine in Los Angeles, CA

Active since June 29, 2006
3631 CRENSHAW BLVD, SUITE 109, LOS ANGELES, CA 90016(323) 734-1414 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Evangeline Gutierrez Bautista M.d. NPPES

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

DR. EVANGELINE GUTIERREZ BAUTISTA M.D. (NPI 1912935842) is an individual family medicine provider in Los Angeles, California, licensed in California (C50704) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1912935842
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. EVANGELINE GUTIERREZ BAUTISTACredential: M.D.
Location Address3631 CRENSHAW BLVD, SUITE 109Los Angeles, CA 90016-4869
Mailing Address201 E Angeleno Ave, Unit 203Burbank, CA 91502-2947 · (818) 846-2116
Sole ProprietorYes
Enumeration DateJune 29, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1912935842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · C50704
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3631 CRENSHAW BLVD, Los Angeles, CA 90016

Other Identifiers 2

Medicare UPIND86512CA
Medicare ID-Type UnspecifiedC50704CA

Other Providers at the Same Location NPPES 8

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

Clinic/Center (Radiology)
3631 CRENSHAW BLVD, STE 102 103
LOS ANGELES, CA 90016
Pharmacy (Community/Retail Pharmacy)
3631 CRENSHAW BLVD, STE 111
LOS ANGELES, CA 90016
Dentist (General Practice)
3631 CRENSHAW BLVD
LOS ANGELES, CA 90016
Family Medicine
3631 CRENSHAW BLVD, #110
LOS ANGELES, CA 90016
Nurse Practitioner (Family)
3631 CRENSHAW BLVD
LOS ANGELES, CA 90016
Clinic/Center (Federally Qualified Health Center (FQHC))
3631 CRENSHAW BLVD, 109
LOS ANGELES, CA 90016
Nurse Practitioner (Family)
3631 CRENSHAW BLVD, #109
LOS ANGELES, CA 90016
Specialist
3631 CRENSHAW BLVD, SUITE 103
LOS ANGELES, CA 90016

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 Evangeline Bautista's NPI number?

The NPI number for Evangeline Bautista is 1912935842. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Evangeline Bautista located?

Evangeline Bautista practices at 3631 Crenshaw Blvd Suite 109, Los Angeles, CA 90016. The listed phone number is (323) 734-1414.

What is Evangeline Bautista's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Evangeline Bautista was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.