Angelito Bustamante De Leon, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

33282 Issued in CA

Practice address

13178 Alta Vista Way
Sylmar, CA 91342-3461

Phone

(818) 731-3293

NPI assigned

Jan 14, 2016

Sex

Male

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

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Plyokinetics Therapy Inc - a Physical Therapy Corporation

  • Physical Therapist
  • Sylmar, CA
  • NPI 1225689623
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1568828986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13178 ALTA VISTA WAY",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913423461",
            "telephone_number": "818-731-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13178 ALTA VISTA WAY",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913423461",
            "telephone_number": "818-731-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "ANGELITO",
        "middle_name": "BUSTAMANTE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "33282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Iris De Guzman
• Adriana De la Cruz Campa
• Vanessa Stephanie De la Rosa Dominguez
• Alejandro De la Rosa
• Adriana Carolina De la Torre, LCSW
• Diana Grace Reyes De Leon
• Serene De Leon, FNP-C
• Dexter Alejandro De Vera
• Stanley Kwan Dea, M.D.
• Joanna V. Dearlove, M.D.

• Physical Therapist in Sylmar, CA
• Providers in Sylmar, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.