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Contact Information

JADE BAUTISTA, PHARM.D.
901 EL CAMINO REAL
SAN BRUNO, CA94066-3009
 Phone: 650-742-2100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Care

1835P2201X
Indicates primary specialty

NPI Profile & details for JADE BAUTISTA · (Female)

NPI # 1396629143
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 08/04/2025
Last updated 08/04/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • CA License # 89830
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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