Individual
JEREMIAH BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, PHN, BSN
Contact information
Practice address
1100 SAN LEANDRO BLVD, SAN LEANDRO, CA 94577-1595
(510) 267-3250
Mailing address
561 GREG THATCH CIR, SACRAMENTO, CA 95835-2425
(415) 519-1054
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
95198720
CA
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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