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

Micah S Bautista, RDN

Individual provider Registered Dietitian · NPI 1164175063

Micah S Bautista, RDN is a Registered Dietitian in Modesto, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2022
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

See every abbreviation used in this directory →

Practice location Address checks out

600 Coffee Rd
Modesto, CA 95355-4201
Phone: (209) 550-4747
Show map & directions

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

Additional practice locations (1)

  • 4601 Dale Rd, Modesto, CA 95356-9718 — (209) 735-5000

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86289720 (CA)

Record details

NPI number1164175063
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN
Sole proprietorNo
NPI enumeratedJanuary 31, 2022
Last updated in NPPESFebruary 7, 2023
Certification dateFebruary 7, 2023

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