Individual provider Active NPI

Lindsey Nicole Bustos

  • Foot & Ankle Surgery Podiatrist
  • San Diego, CA
National Provider Identifier
1699417774
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E6127 Issued in CA
Practice address
4077 Fifth Ave # Mer-35
San Diego, CA 92103-2105
Phone
(619) 260-7220
NPI assigned
Apr 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E6127 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4077 Fifth Ave # Mer-35
San Diego, CA 92103-2105

Mailing address

4077 Fifth Ave # Mer-35
San Diego, CA 92103-2105

Other practice location 1

5565 Grossmont Center Dr Ste 152
LA Mesa, CA 91942-3075
Phone (619) 465-3443

Other practice location 2

5565 Grossmont Center Dr Ste 353
LA Mesa, CA 91942-3027
Phone (619) 465-3443

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250818003955 CA Practitioner - Podiatry 1557860483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Western Un of HLTH Sciences, Col of Podiatric Med, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Socal Foot Care PCGroup PAC ID 5395110076, 29 clinicians

Practice addresses (Care Compare)

5565 Grossmont Ctr Dr
Suite 152
La Mesa, CA 91942-3075
Phone (619) 440-2202

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue64
Removal of skin lesions1-10
Removal of nail tissue143
Removal or shaving of skin growth78
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E6127CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Socal Foot Care PC Foot & Ankle Surgery CurrentSince Aug 1, 2025 Accepting new patients
Socal Foot Care PC Foot & Ankle Surgery CurrentSince Aug 1, 2025 Accepting new patients

Locations

9850 Genesee Ave
Ste 510
La Jolla, CA 92037
Phone (858) 450-9218

5565 Grossmont Center Dr
Ste 152
La Mesa, CA 91942
Phone (619) 440-2202

5565 Grossmont Center Dr
Ste 353
La Mesa, CA 91942
Phone (619) 465-3443

39755 Murrieta Hot Springs Rd
Ste D130
Murrieta, CA 92563
Phone (951) 698-4611

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: lindsey.bustos.1@20181.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1649548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1699417774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4077 FIFTH AVE # MER-35",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4077 FIFTH AVE # MER-35",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032105",
            "telephone_number": "619-260-7220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5565 Grossmont Center Dr Ste 152",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919423075",
            "country_code": "US",
            "telephone_number": "619-465-3443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5565 Grossmont Center Dr Ste 353",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919423027",
            "country_code": "US",
            "telephone_number": "619-465-3443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSTOS",
        "first_name": "LINDSEY",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-10",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E6127",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.