Adelaida E Bustos, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A36348 Issued in CA

Practice address

711 N Alvarado St Ste 110
Los Angeles, CA 90026-4016

Phone

(213) 413-7888

Fax

(213) 413-5986

NPI assigned

Dec 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic RadiologyAlso: General Practice

Education

Other, 1971

Medicare assignment

May accept Medicare assignment

Group practices

Amh Comprehensive Medical CentersGroup PAC ID 0941546337, 2 clinicians

Tender Care Community Clinic, IncGroup PAC ID 2264770932, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Malibu Home Health, Inc. Home health agency, Agoura Hills, CA, CCN 757157

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ADFIBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tender Care Community Clinic, Inc

  • Primary Care Clinic/Center
  • Downey, CA
  • NPI 1134668304
  Medicare reassignment Care Compare group NPD
• Perch Yetenikyan, Inc.

  dba Elite Radiology

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1043726367
  Medicare reassignment NPD
• Diagnostic Imaging Med GRP of Kent

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1255494795
  NPD Authorized official
• Amh Comprehensive Medical Centers

  • Community Health Clinic/Center
  • Los Angeles, CA
  • NPI 1306194105
  Care Compare group
• Californi Medical Clinic Inc

  • Family Medicine Physician
  • Fontana, CA
  • NPI 1215022918
  NPD (past)
• California Medical Clinic Inc.

  • Family Medicine Physician
  • Ontario, CA
  • NPI 1043242142
  NPD (past)
• Pomona Valley Hospital Medical Center

  • General Acute Care Hospital
  • Pomona, CA
  • NPI 1518067586
  NPD (past)
• Ruben S. Casabar, M.D, Inc.

  • General Practice Physician
  • Maywood, CA
  • NPI 1649425026
  NPD (past)

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

• Malibu Home Health Inc

  • Home Health Agency
  • Agoura Hills, CA
  • NPI 1851907406
  Care Compare affiliation

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1467510040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N ALVARADO ST STE 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264016",
            "telephone_number": "213-413-7888",
            "fax_number": "213-413-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N ALVARADO ST STE 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264016",
            "telephone_number": "213-413-7888",
            "fax_number": "213-413-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTOS",
        "first_name": "ADELAIDA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A36348",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A36348",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susana Rabena Bustamante, LCSW
• Sylvia Bustamante
• David Antonio Bustillo, MD
• Erick Humberto Bustillos, DC
• Marcee Bustillos
• Andrew Richard Bustos, M.A.
• Esmeralda Bustos
• Juan Carlos Bustos
• Ramon Bustos, MD
• Susie Bustos

• Diagnostic Radiology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.