Ana Bustamante Laue

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

124992 Issued in CA

Practice address

2185 W Grant Line Rd
Tracy, CA 95377-7309

Phone

(209) 839-3200

NPI assigned

Sep 4, 2024

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1790510170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 CENTRE COURT DR",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953764910",
            "telephone_number": "650-544-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185 W GRANT LINE RD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953777309",
            "telephone_number": "209-839-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTAMANTE LAUE",
        "first_name": "ANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "124992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Daniele Burgess
• Alan Lee Burke, M.A.D.C.
• Eileen Theresa Burkey, LCSW
• Madelin Burnham
• Jeffrey Travis Burton, D.D.S.
• Caila Butler
• Keith Bryan Byrd, PHYSICIAN ASSISTANT
• Lilleth Byrne
• BZ Medical Corporation
• Fernanda Cabrera Hidalgo

• Clinical Social Worker in Tracy, CA
• Providers in Tracy, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.