Individual provider · Type 1 NPI

Erickson Cruz Bautista, D.N.P

Adult Health Nurse Practitioner · Riverside, CA

NPI number 1285024083 Active

Practice location

6926 Brockton Ave Ste 8
Riverside, CA 92506-3804

Mailing address

18411 Crenshaw Blvd Ste 110
Torrance, CA 90504-5078

Other practice locations

  • 1500 E Tropicana Ave Ste 127, Las Vegas, NV 89119-8313 · (877) 505-6828

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X95002040 (CA)
Gerontology Registered Nurse 163WG0600X822775 (NV)
Nurse Practitioner 363L00000X95002040 (CA)
Adult Health Nurse Practitioner 363LA2200X822775 (NV)
Gerontology Nurse Practitioner 363LG0600X822775 (NV)
Adult Health Nurse Practitioner Primary 363LA2200X95002040 (CA)
Registered Nurse 163W00000X715867 (CA)

Adult Health Nurse Practitioner: Definition to come...

5 other providers at this address

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About NPI 1285024083

Erickson Cruz Bautista, D.N.P's National Provider Identifier is 1285024083, issued on Jan 31, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Riverside, CA. The record was last updated on May 17, 2023.