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

Individual provider Adult Care Home Facility · NPI 1861791725

Mrs. Marcelina Bautista is an Adult Care Home Facility in San Bruno, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2011
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Practice location Address checks out

188 San Felipe Ave
San Bruno, CA 94066-5501
Phone: (650) 952-4398
Fax: (650) 583-6120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X · Licence 415600504 (CA)

Record details

NPI number1861791725
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 17, 2011
Last updated in NPPESMarch 17, 2011