Bose Bustamante, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

23440 Issued in CA

Practice address

2501 Alvin Ave
San Jose, CA 95121-1660

Phone

(408) 238-9751

NPI assigned

Oct 24, 2022

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1437876257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 THE ALAMEDA APT 2212",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263169",
            "telephone_number": "951-880-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 ALVIN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211660",
            "telephone_number": "408-238-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTAMANTE",
        "first_name": "BOSE",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "23440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey Bush, PHD
• Lavante Lorenzo Bushnell
• Swaroopa R. Bussa, MD
• Michael Dennis Bussolini, P.T.
• Betzayda Bustamante
• Gabrielle Bustamante
• Ivana Bustamante
• Bianca Lynn Bustamente, DO
• Connie Bustillo
• Mary Vic Amor Mendija Bustillo, NP

• Occupational Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.