Emily Andrea Bautista, ASW
Social Worker, Clinical in Pomona, CA. Individual provider (NPI-1).
NPI number1386253243
StatusActive
Last updated in NPPESJun 27, 2023
Details
- NPI
- 1386253243
- Entity type
- Individual (NPI-1)
- Name
- Emily Andrea Bautista
- Credential
- ASW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 27, 2020
- Certification date
- Jun 27, 2023
- Last updated
- Jun 27, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 109275 | CA | Yes |
Practice location
2008 N Garey AvePomona, CA 91767-2722
Phone 909-623-6131
Mailing address
2008 N Garey AvePomona, CA 91767-2722
Phone 909-623-6131
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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