Individual provider Active NPI

Maria Victoria Bustos, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Paso Robles, CA
National Provider Identifier
1285484402
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41911 Issued in CA
Practice address
800 Niblick Rd
Paso Robles, CA 93446-4858
Phone
(805) 769-1000
NPI assigned
Mar 22, 2024
Last updated
Aug 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6428 OK
Speech-Language Pathologist 235Z00000X 41911 CA Primary

Addresses

Primary practice location

800 Niblick Rd
Paso Robles, CA 93446-4858

Mailing address

21601 E 32ND PL S
Broken Arrow, OK 74014-1163
Phone (918) 282-6141

Other names 1

  • Maria Victoria Yanez Former name

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Eastgate Metroplex Therapy LLC Speech-Language Pathologist CurrentSince Mar 1, 2024 Accepting new patients
Hope for Tulsa Speech-Language Pathologist CurrentSince Mar 1, 2024 Accepting new patients

Locations

14002 E 21st St
Ste 650
Tulsa, OK 74134
Phone (918) 274-7902

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1285484402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21601 E 32ND PL S",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740141163",
            "telephone_number": "918-282-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 NIBLICK RD",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934464858",
            "telephone_number": "805-769-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTOS",
        "first_name": "MARIA",
        "middle_name": "VICTORIA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-22",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "6428",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "41911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "YANEZ",
            "middle_name": "VICTORIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Paso Robles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.