Jessica Erene Bustos Paz, DNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95012340 Issued in CA

Practice address

7955 Westminster Blvd
Westminster, CA 92683-4001

Phone

(714) 893-7520

NPI assigned

Jul 1, 2019

Last updated

Dec 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Executive Mental Health, IncGroup PAC ID 0345209102, 47 clinicians

Oceanside Medical Group a Medical CorporationGroup PAC ID 9335311042, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Los Angeles Community Hospital Hospital, Los Angeles, CA, CCN 050663
• Huntington Beach Hospital Hospital, Huntington Beach, CA, CCN 050526

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oceanside Medical Group, a Medical Corporation

  • Psychiatry Physician
  • Santa Monica, CA
  • NPI 1861770513

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Executive Mental Health, Inc.

  • Mental Health Counselor
  • Los Angeles, CA
  • NPI 1275670036
  Medicare reassignment Care Compare group
• Brian Wu MD PHD Inc

  • Psychiatry Physician
  • San Gabriel, CA
  • NPI 1528639481

  Single Specialty

  Medicare reassignment NPD
• Pathway Medical Group, Inc

  • Family Medicine Physician
  • Garden Grove, CA
  • NPI 1902853302

  Single Specialty

  Medicare reassignment NPD
• Pathway Medical Group, Inc

  • Internal Medicine Physician
  • Westminster, CA
  • NPI 1164473757

  Single Specialty

  NPD
• Pathway Medical Group, Inc.

  • Internal Medicine Physician
  • Anaheim, CA
  • NPI 1407199243
  NPD

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

• Alta Los Angeles Hospital, Inc

  dba Los Angeles Hospital

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1114132685

  Hospital

  Care Compare affiliation
• Alta Los Angeles Hospitals, Inc.

  dba Los Angeles Comm Hosp, Norwalk Comm Hosp & LA Comm Hosp at Bellflower

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1922001809
  Care Compare affiliation
• Prime Healthcare Huntington Beach, LLC

  • General Acute Care Hospital
  • Huntington Beach, CA
  • NPI 1083622120
  Care Compare affiliation

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1326600289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SANTA MONICA BLVD",
            "address_2": "STE 230",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012625",
            "telephone_number": "562-314-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7955 WESTMINSTER BLVD",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834001",
            "telephone_number": "714-893-7520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12402 Kayreid Dr",
            "address_purpose": "LOCATION",
            "city": "Whittier",
            "state": "CA",
            "postal_code": "906054213",
            "country_code": "US",
            "telephone_number": "562-314-7088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAZ",
        "first_name": "JESSICA ERENE",
        "middle_name": "BUSTOS",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95012340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hitesh Chhotabhai Patel, MD
• Pathway Medical Group (Pathway Medical Group - Westminster)
• Pathway Medical Group, Inc
• Paul T. Duong, M.D., Inc
• Melissa Paz-Rivera I
• Debra Durando Pedersen
• Sarah Pedraza
• Maranita Zare Pegadiotes, LCSW
• Joshua Peloquin, DO
• Maritza Peralta

• Psychiatric/Mental Health Nurse Practitioner in Westminster, CA
• Providers in Westminster, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.