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

Individual provider Family Nurse Practitioner · NPI 1437506581

Mrs. Mary Stephanie Gangcuangco Bautista, FNP is a Nurse Practitioner in Murrieta, California. Qualified in 2016, 10 years ago. Practices with County of Riverside, a 187-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2016
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

28062 Baxter Rd
Murrieta, CA 92563-1401
Phone: (956) 534-6114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95005578 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 676857 (CA)

Record details

NPI number1437506581
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedMay 18, 2016
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice County Of Riverside — 187 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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