Patient Payment Agent

Primary specialty

Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianTaxonomy code 207KI0005X

Legal business name

PATIENT PAYMENT AGENT

Doing business as

My Community Testing

Practice address

750 Story Rd Ste 12
San Jose, CA 95122-2604

Phone

(408) 614-7182

NPI assigned

Jun 26, 2020

Last updated

Sep 28, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jesus Bryan Bustos

Title

Coo

Phone

(650) 555-1212

Specialties & licenses 1

Addresses

Other names 1

• My Community Testing Doing business as

Locations

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1487271300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 E CAPITOL EXPY STE 710",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951212415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 STORY RD STE 12",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951222604",
            "telephone_number": "408-614-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT PAYMENT AGENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-26",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A",
        "authorized_official_last_name": "BUSTOS",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "650-555-1212"
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Community Testing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Allergy & Immunology Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Allergy & Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.