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

Christopher Bautista Custodio, RN

Individual provider Adult Psychiatric/Mental Health Registered Nurse · NPI 1053067157

Christopher Bautista Custodio, RN is an Adult Psychiatric/Mental Health Registered Nurse in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

3853 Rosecrans St
San Diego, CA 92110-3115
Phone: (619) 692-8232
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0809X · Licence 95165732 (CA)

Record details

NPI number1053067157
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedFebruary 27, 2022
Last updated in NPPESFebruary 27, 2022
Certification dateFebruary 27, 2022

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