Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Casey Noelle Bautista, RD

Individual provider Registered Dietitian · NPI 1053944645

Casey Noelle Bautista, RD is a Registered Dietitian in San Clemente, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

32 Calle Prospero
San Clemente, CA 92673-3258
Phone: (949) 292-9152
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86079397 (CA)

Record details

NPI number1053944645
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedFebruary 21, 2020
Last updated in NPPESFebruary 21, 2020
Certification dateFebruary 21, 2020

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