| Jeremiah Bautista, RN, PHN, BSN | |
|
1100 San Leandro Blvd, San Leandro, CA 94577-1595 | |
| (510) 267-3250 | |
| Not Available |
| Full Name | Jeremiah Bautista |
|---|---|
| Gender | Male |
| Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
| Location | 1100 San Leandro Blvd, San Leandro, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306718804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 95198720 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremiah Bautista, RN, PHN, BSN 561 Greg Thatch Cir, Sacramento, CA 95835-2425 Ph: (415) 519-1054 | Jeremiah Bautista, RN, PHN, BSN 1100 San Leandro Blvd, San Leandro, CA 94577-1595 Ph: (510) 267-3250 |
Gabriella Costa, RN, PHN Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 San Leandro Blvd, San Leandro, CA 94577 Phone: 510-267-8000 | |
Misha Gregory, RN Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 San Leandro Blvd Fl 3, San Leandro, CA 94577 Phone: 510-267-3250 Fax: 510-273-3744 | |
Richard H. Shoop, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2587 Merced St, San Leandro, CA 94577 Phone: 615-778-4066 Fax: 615-778-9114 | |
Sophia Costa, RN Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 San Leandro Blvd, San Leandro, CA 94577 Phone: 510-267-8000 |