Micah Bautista, RDN
NPI 1164175063 · Registered Dietitian · Modesto, CA
Enrolled with Medicare as Practitioner - Registered Dietitian Or Nutrition Professional · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Micah Bautista, RDN is a Registered Dietitian provider in Modesto, CA (NPI 1164175063).
Provider details
- NPI number
- 1164175063
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RDN
- Sex
- Female
- Sole proprietor
- No
- License
- 86289720 (CA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 4601 Dale RdModesto, CA 95356-9718Phone: (209) 735-5000
Registry dates
- Enumerated
- 2022-01-31
- Last updated
- 2023-02-07
- Certified
- 2023-02-07
Frequently asked questions
- What is Micah Bautista's NPI number?
- Micah Bautista's National Provider Identifier (NPI) is 1164175063, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Micah Bautista's specialty?
- Micah Bautista is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Micah Bautista located?
- Micah Bautista's practice location on file with NPPES is 600 Coffee Rd, Modesto, CA 95355-4201.
- What is Micah Bautista's phone number?
- The practice phone number listed in the NPPES registry for Micah Bautista is (209) 550-4747.
- Does Micah Bautista accept Medicare?
- Micah Bautista is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Micah Bautista's NPI active?
- Yes — Micah Bautista's NPI (1164175063) is active in the NPPES registry as of the last update on 2023-02-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.