Angel R Bustamante, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA 16691 Issued in CA

Practice address

941 S Atlantic Blvd
Suite 101
Monterey Park, CA 91754-4722

Phone

(626) 458-8401

NPI assigned

May 23, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southland Arthrites and Osteoporosis Medical Center Inc

  • Rheumatology Physician
  • Menifee, CA
  • NPI 1033296231
  Medicare reassignment
• R Srinivasan MD Inc

  • Rheumatology Physician
  • Monterey Park, CA
  • NPI 1780733923
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013127877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6534 BRANCH CT",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928800803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 S ATLANTIC BLVD",
            "address_2": "SUITE 101",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544722",
            "telephone_number": "626-458-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTAMANTE",
        "first_name": "ANGEL",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA 16691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bright Eye Care
• Spencer Erik Briglio, MD
• Nicholas Bucher, PT, DPT
• Nikki Arabelle Etrata Bundang, OTD, OTR/L
• Brian William Burney, CRNA
• BW Occupational Therapy Professional Corporation
• Byran Chen DDS, Inc
• C D Healthcare Inc
• C K Chan OD Inc
• C. George Lai, M.D., Inc.

• Medical Physician Assistant in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.