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

Individual provider Pediatrics Physician · NPI 1427444769

Geoanna Marie S Bautista, MD is a Pediatrics Physician in Sacramento, California. Practices as a sole proprietor and works from 2 locations. Licensed in California and Illinois.

Licensed in
CA, IL
In the registry since
2015
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2516 Stockton Blvd
Sacramento, CA 95817-2208
Phone: (916) 734-3891
Fax: (916) 456-2236
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2160 S 1st Ave, Maywood, IL 60153-3328 — (708) 327-9124

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence A155189 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence 125067243 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1427444769
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 14, 2015
Last updated in NPPESApril 2, 2021
Certification dateApril 2, 2021

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