Jo-Anne Bustamante, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

16953 Issued in CA

Practice address

1818 Verdugo Blvd Ste 304
Glendale, CA 91208-1444

Phone

(818) 790-3588

Fax

(818) 790-6518

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Southern California Keck School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skin and Beauty Center IncGroup PAC ID 8628170347, 34 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.23 of 100Reported as group

Promoting interoperability

88

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jbustamante@dcm-ca.emadirect.md
• Direct secure messaging: jbustamante@directaddress.net

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.

• Skin and Beauty Center Inc

  • Dermatology Physician
  • Burbank, CA
  • NPI 1073751129
  Medicare reassignment Care Compare group NPD
• Vincent C Hung MD, Inc

  • Specialist
  • Pasadena, CA
  • NPI 1396911608
  Medicare reassignment
• Northridge Dermatology Associates Medical Group Inc

  • Dermatology Physician
  • Northridge, CA
  • NPI 1346261617
  NPD
• Skin and Beauty Center (SBC), Inc.

  • Specialist
  • Valencia, CA
  • NPI 1134407414
  NPD
• Beverly Hills Dermatology Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Beverly Hills, CA
  • NPI 1669886388
  NPD (past)
• California Cancer Specialists Medical Group Inc

  • Anesthesiology Physician
  • Duarte, CA
  • NPI 1912006636
  NPD (past)
• City of Hope Medical Foundation

  • Hematology & Oncology Physician
  • Duarte, CA
  • NPI 1871886366
  NPD (past)
• Newport Plastic Surgery Inc

  • Plastic Surgery Physician
  • Newport Beach, CA
  • NPI 1700192754
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1700971611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 VERDUGO BLVD STE 304",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081444",
            "telephone_number": "818-790-3588",
            "fax_number": "818-790-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 VERDUGO BLVD STE 304",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081444",
            "telephone_number": "818-790-3588",
            "fax_number": "818-790-6518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTAMANTE",
        "first_name": "JO-ANNE",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "PA16953",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "16953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Bursch, M.D.
• Lauren Burt
• Amy T Buser, PH.D.
• Ayisha Din Bushra
• Yuri Busi, M.D.
• Kristine Bustos, NP-C
• Alexandria Lauren Butler, DMD, MMSC
• Heather Marie Butterfield
• Anil Buyruk, RN
• BV General Inc

• Physician Assistant in Glendale, CA
• Providers in Glendale, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.