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

Tricia Bautista, MD

Individual provider Addiction Medicine (Family Medicine) Physician · NPI 1962039289

Tricia Bautista, MD is an Addiction Medicine (Family Medicine) Physician in New York, New York. Practices as a sole proprietor and works from 3 locations. Licensed in California and New York.

Licensed in
CA, NY
In the registry since
2020
Specialties on file
2
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

55 Water St Fl 18
New York, NY 10041-0055
Phone: (510) 708-0921
Show map & directions

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

Additional practice locations (2)

  • 1025 N Douty St, Hanford, CA 93230-3722 — (559) 537-0224
  • 111 E 210th St, Bronx, NY 10467-2401 — (718) 920-4321

Specialties & licences

Addiction Medicine (Family Medicine) Physician (primary) Taxonomy 207QA0401X · Licence 330293 (NY)
Addiction Medicine (Family Medicine) Physician Taxonomy 207QA0401X · Licence A180675 (CA)

Record details

NPI number1962039289
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 25, 2020
Last updated in NPPESAugust 18, 2024
Certification dateAugust 18, 2024

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