Bautista, Jemianne

Bautista, Jemianne is an individual health care provider with primary practice located at 505 Parnassus Ave # M391 , San Francisco CA 94143-2204. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is her primary health care specialty. Bautista, Jemianne can be contacted via phone (415) 476-1537.

Contact Information

Primary practice address
505 Parnassus Ave # M391 San Francisco CA 94143-2204
Phone: (415) 476-1537
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A150437 California
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X A150437 California

Profile Details

NPI number 1801246111
LBN Legal business name Bautista, Jemianne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2016
Last updated Nov 8th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801246111 NPPES
California MEDICAID 1801246111

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