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DIVINA GRACIA P. BAUTISTA N.P.
NPI 1952810772
Nurse Practitioner - Primary Care in Pasadena, CA

Active since September 25, 2017
1239 ADEN ROAD, PASADENA, CA 91125(626) 395-6393(626) 585-1522 Get Directions Write a Review

NPPES record last updated: October 2, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Divina Gracia P. Bautista N.p. NPPES

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

DIVINA GRACIA P. BAUTISTA N.P. (NPI 1952810772) is an individual primary care provider in Pasadena, California, licensed in California (NP7363) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1952810772
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameDIVINA GRACIA P. BAUTISTACredential: N.P.
Location Address1239 ADEN ROADPasadena, CA 91125
Mailing Address1239 Arden RoadPasadena, CA 91125 · (626) 395-6393 · Fax (626) 585-1522
Phone(626) 395-6393
Fax(626) 585-1522
Sole ProprietorNo
Enumeration DateSeptember 25, 2017
Last NPPES UpdateOctober 2, 2017
✔ NPI 1952810772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · NP7363
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License NP7363 (CA)
Also ListedNurse Practitioner · SchoolTaxonomy 363LS0200X · License NP7363 (CA)
1239 ADEN ROAD, Pasadena, CA 91125
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Other Names 1

Former Name (1)Divina Gracia R. Dela Pena

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 Divina Gracia Bautista's NPI number?

The NPI number for Divina Gracia Bautista is 1952810772. It was assigned to this individual provider in the NPPES registry on September 25, 2017. The provider is also known as Divina Gracia R. Dela Pena.

Where is Divina Gracia Bautista located?

Divina Gracia Bautista practices at 1239 Aden Road, Pasadena, CA 91125. The listed phone number is (626) 395-6393.

What is Divina Gracia Bautista's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Divina Gracia Bautista was last updated on October 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.