Individual provider Active NPI

Gerardo Arturo Bustos-Rojas, CADC III

  • Addiction (Substance Use Disorder) Counselor
  • Beaverton, OR
National Provider Identifier
1598036725
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
9604139 Issued in OR
Practice address
3800 SW Cedar Hills Blvd Ste 288
Beaverton, OR 97005-2035
Phone
(503) 924-2448
NPI assigned
Jan 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X 9604139 OR Primary

Addresses

Primary practice location

3800 SW Cedar Hills Blvd Ste 288
Beaverton, OR 97005-2035

Mailing address

3800 SW Cedar Hills Blvd Ste 288
Beaverton, OR 97005-2035
Phone (503) 924-2448

Other practice location 1

1165 NE Perl Way
Beaverton, OR 97006-9700
Phone (707) 724-1428 ext. 70772

Other practice location 2

2344 Old Sonoma Rd
Napa, CA 94559-3708
Phone (707) 253-4724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9604139ORMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1598036725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 SW CEDAR HILLS BLVD STE 288",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052035",
            "telephone_number": "503-924-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 SW CEDAR HILLS BLVD STE 288",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052035",
            "telephone_number": "503-924-2448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1165 NE Perl Way",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970069700",
            "country_code": "US",
            "telephone_number": "707-724-1428 x70772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2344 Old Sonoma Rd",
            "address_purpose": "LOCATION",
            "city": "Napa",
            "state": "CA",
            "postal_code": "945593708",
            "country_code": "US",
            "telephone_number": "707-253-4724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSTOS-ROJAS",
        "first_name": "GERARDO",
        "middle_name": "ARTURO",
        "name_prefix": "Mr.",
        "credential": "CADC III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "9604139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.