Active NPI
Carolina Bustos
- Clinical Social Worker
- Thousand Oaks, CA
National Provider Identifier
1265243406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 127030
- Practice address
- 501 Marin St
Thousand Oaks, CA 91360-4260 - Phone
- (805) 379-1401
- NPI assigned
- Jan 16, 2025
- Last updated
- Jan 16, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 127030 | CA | Primary |
Addresses
Primary practice location
501 Marin St
Thousand Oaks, CA 91360-4260
Mailing address
29965 Muledeer LN
Castaic, CA 91384-4503
Phone (661) 714-1003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127030 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1265243406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29965 MULEDEER LN",
"city": "CASTAIC",
"state": "CA",
"postal_code": "913844503",
"telephone_number": "661-714-1003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 MARIN ST",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913604260",
"telephone_number": "805-379-1401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSTOS",
"first_name": "CAROLINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-16",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "127030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.