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

Jeremiah Bautista, RN, PHN, BSN

Individual provider Public Health & General Preventive Medicine Physician · NPI 1306718804

Jeremiah Bautista, RN, PHN, BSN is a Public Health & General Preventive Medicine Physician in San Leandro, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
BSN — Bachelor of Science in Nursing
A four-year nursing degree.

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Practice location Address checks out

1100 San Leandro Blvd
San Leandro, CA 94577-1595
Phone: (510) 267-3250
Show map & directions

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

Specialties & licences

Public Health & General Preventive Medicine Physician (primary) Taxonomy 2083P0901X · Licence 95198720 (CA)

Record details

NPI number1306718804
Entity typeIndividual (Type 1)
GenderMale
Credentials RN , PHN , BSN
Sole proprietorYes
NPI enumeratedSeptember 23, 2025
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025

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