Individual provider Active NPI

Gynna Carbajal Bustos, FNP-C

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1801414412
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP145623 Issued in TX
Practice address
3051 N Zaragoza Rd
El Paso, TX 79938-7921
Phone
(915) 401-8019
Fax
(915) 401-8096
NPI assigned
Jul 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP145623 TX Primary

Addresses

Primary practice location

3051 N Zaragoza Rd
El Paso, TX 79938-7921

Mailing address

710 Warwickshire Ave
El Paso, TX 79928-2200

Other practice location 1

710 Warwickshire Ave
El Paso, TX 79928-2200
Phone (915) 252-4223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20210628000366 TX Practitioner - Nurse Practitioner 9335540426 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP145623TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chauburg PLLC CurrentSince Apr 6, 2023 Accepting new patients
Cep America LLC CurrentSince Jul 1, 2021 Accepting new patients
Cep America LLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3051 N Zaragoza Rd
El Paso, TX 79938
Phone (915) 227-8065

1618 N Lee Trevino Dr
Ste D
El Paso, TX 79936
Phone (206) 703-2204

1521 Joe Battle Blvd
Ste B
El Paso, TX 79936
Phone (915) 521-7798

Interoperability endpoints

  • Direct secure messaging: gynna.carbajal.bustos.1@32563.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1801414412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 WARWICKSHIRE AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799282200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 N ZARAGOZA RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799387921",
            "telephone_number": "915-401-8019",
            "fax_number": "915-401-8096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 Warwickshire Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799282200",
            "country_code": "US",
            "telephone_number": "915-252-4223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARBAJAL BUSTOS",
        "first_name": "GYNNA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.