Elisabeth Inomaa-Bustillos

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY27017 Issued in CA

Practice address

29995 Technology Dr Ste 103
Murrieta, CA 92563-2633

Phone

(323) 302-1564

NPI assigned

Sep 15, 2010

Sex

Female

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Comprehensive Forensic Evaluation Services, a Psychology Corporation

  • Forensic Psychologist
  • Murrieta, CA
  • NPI 1881403038
  Medicare reassignment NPD Authorized official
• Zenertree Psychological Treatment Center Inc.

  • Clinical Psychologist
  • Atascadero, CA
  • NPI 1598411209
  NPD

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1639487374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29995 TECHNOLOGY DR STE 103",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632633",
            "telephone_number": "323-302-1564",
            "fax_number": "323-967-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29995 TECHNOLOGY DR STE 103",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632633",
            "telephone_number": "323-302-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INOMAA-BUSTILLOS",
        "first_name": "ELISABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inland Valley Cardiovascular Center, GP
• Inland Valley Home Health
• Innovamed Industries LLC
• Innovative Intrathecal Solutions Inc
• Innovative Neurology, Inc.
• Inpatient Services of California, a Medical Corporation
• Insight Therapy and Consulting Licensed Clinical Social Worker, PC
• Inspire Pulmonary and Sleep Medicine Specialist
• Integralife Family Counseling Services, Inc.
• Intermountain Surgical

• Clinical Psychologist in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.