Estela E. Caeg-Bustamante, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

CA 33555 Issued in CA

Practice address

8555 Station Village Way
Suite a
San Diego, CA 92108

Phone

(619) 574-0205

Fax

(619) 574-0537

NPI assigned

Nov 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811075203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8555 STATION VILLAGE WAY",
            "address_2": "SUITE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92108",
            "telephone_number": "619-574-0205",
            "fax_number": "619-574-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8555 STATION VILLAGE WAY",
            "address_2": "SUITE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92108",
            "telephone_number": "619-574-0205",
            "fax_number": "619-574-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAEG-BUSTAMANTE",
        "first_name": "ESTELA",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "CA 33555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "203118324",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen A Cadman, M.D.
• Noelle Cadotte, D.O.
• Cynthia Cadwell, MSN RN NP CNS
• Ryleigh Cadwell
• Laura Lynn Cady, LCSW
• Toni Ann Cafaro, PH.D.
• Reginaldo F. Cagampan, NP
• Kurt Francis Cagasan, DC
• Dori Neill Cage, M.D.
• Joseph Danilo Robledo Caguiat Jr.

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.