Christopher D Bustamante, M.D.
Individual provider Active NPI Family Medicine Physician · Carson, CA
NPI 1124233945 · NPPES record last updated Dec 6, 2025
Key facts
- NPI
- 1124233945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- C181092 (CA)
- Practice address
- 824 E Carson St Ste 104
Carson, CA 90745-2262 - Phone
- (310) 830-9706
- NPI assigned
- May 14, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthcare Partners Affiliates Medical Group
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
- Torrance Memorial Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230726001586 | CA | Practitioner - Family Practice | 3971658402 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C181092 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Current |
Accepting new patients | |
| Bustamante Garcia Medical Corp | Family Medicine | Current | Accepting new patients |
| Albion Medical Partners of California West P C | Current |
Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Family Medicine | Current |
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
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
168 W Carson St
Carson, CA 90745
Phone (310) 233-3202
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
- cbustamante205875@westdirect.optum.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14407 | NH | |
| Family Medicine Physician | 207Q00000X | C181092 | CA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3077079 | Medicaid | NH |
Other providers in Carson, CA
- Patricia Carmela Bugarin
- E. Buhl
- Bun Circle Senior Care LLC
- Ramona Burke
- Charles Daniel Bush Jr.
- Brandon Leuterio Butawan
- C&C Senior Care Foundation Inc.
- Daelene Zeta Villanueva Cabahug
- Janice Caballero
- Tana Cabanillas
All providers in Carson, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.