Individual provider Active NPI

Christopher D Bustamante, M.D.

  • Family Medicine Physician
  • Carson, CA
National Provider Identifier
1124233945
Registry record updated Dec 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C181092 Issued in CA
Practice address
824 E Carson St Ste 104
Carson, CA 90745-2262
Phone
(310) 830-9706
NPI assigned
May 14, 2007
Last updated
Dec 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 14407 NH
Family Medicine Physician 207Q00000X C181092 CA Primary

Addresses

Primary practice location

824 E Carson St Ste 104
Carson, CA 90745-2262

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Other practice location 1

168 W Carson St
Carson, CA 90745-2601
Phone (310) 233-3202

Other practice location 2

212 Calef Hwy
Epping, NH 03042-2322
Phone (603) 693-2100 ext. 18

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230726001586 CA Practitioner - Family Practice 3971658402 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3565 Del Amo Blvd
Torrance, CA 90503-1637
Phone (310) 214-0811

601 Torrance Blvd
Redondo Beach, CA 90277-3416
Phone (310) 214-0811

824 E Carson St
Suite 104
Carson, CA 90745-2262
Phone (310) 830-9706

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C181092CAMDFamily Medicine Physician
14407NHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albion Medical Partners of California West P C CurrentSince Mar 9, 2026 Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine CurrentSince Jul 31, 2023 Accepting new patients
Bustamante Garcia Medical Corp Family Medicine Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jul 31, 2023 Accepting new patients
Memorial Medical Group Inc Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600

168 W Carson St
Carson, CA 90745
Phone (310) 233-3202

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

12900 Park Plaza Dr
Ste 700
Cerritos, CA 90703
Phone (562) 622-2800

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

Interoperability endpoints

  • Direct secure messaging: cbustamante205875@westdirect.optum.com

Organizations & group practices 5

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764979200000",
    "number": "1124233945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 E CARSON ST STE 104",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452262",
            "telephone_number": "310-830-9706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "168 W Carson St",
            "address_purpose": "LOCATION",
            "city": "Carson",
            "state": "CA",
            "postal_code": "907452601",
            "country_code": "US",
            "telephone_number": "310-233-3202",
            "fax_number": "310-233-3208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "212 Calef Hwy",
            "address_purpose": "LOCATION",
            "city": "Epping",
            "state": "NH",
            "postal_code": "030422322",
            "country_code": "US",
            "telephone_number": "603-693-2100 x18",
            "fax_number": "603-697-1046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSTAMANTE",
        "first_name": "CHRISTOPHER",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2025-12-06",
        "certification_date": "2025-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "14407",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C181092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

Verify at the official NPI Registry.