Melissa Linda Bautista
Mental Health Counselor · Santa Clara
- Medicare standing
- 1 flag on the record
- Listed below.
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
On the public record
- 2 Medical Board actions on record
Offices
1 location · Sud Specialty Group - CA · 519 clinicians in this group
Looking this up.
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Melissa Linda Bautista’s office at (323) 968-6182 to ask if they take your plan before you enroll.
California Medical Board record
Licence A8904 · Deceased
Licence status: Deceased · since 1940 · Loma Linda University School of Medicine.
Licensee is deceased.
Matched on the licence number without its letter prefix; check the name before relying on it.
Public record actions
| 1997-07-11 | Board disciplineDiscipline | Surrender of license. · 13 1994033737 |
| 1993-05-12 | Felony convictionDiscipline | Pled guilty to title 18 USC sections 286, 2, 287, & 641 (conspiracy to defraud the government with respect to claims, false claims & aiding & abetting, theft of government property). · US district court northern dist. of calif. · CR92421S-FMS · 5 years probation including 8 months detention (4 months in halfway house and 4 months with electronic monitoring); 1,000 hours community |
Professional record
- NPI
- 1053037515
- Licence
- CA 8904California A8904: Deceased
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 101YP2500X (101YP2500X)
- Mailing address
- 338 Olive Ave, Beaumont, CA, 92223
- NPI first listed
- 2022-10-17
- NPI last updated
- 2023-03-01
- NPI record certified
- 2023-03-01
This is when the NPI record was last certified, not a medical board exam.