Corazon V. Bustos, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CORAZON V. BUSTOS, D.M.D.

Practice address

4322 N. Maine Ave
Baldwin Park, CA 91706-3314

Phone

(626) 962-3353

Fax

(626) 962-3353

NPI assigned

Jul 26, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Corazon Virata Bustos Sr., D.M.D.

Title

President

Phone

(626) 962-3353

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343260800000",
    "number": "1811243942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4322 N. MAINE AVE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063314",
            "telephone_number": "626-962-3353",
            "fax_number": "626-962-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4322 N. MAINE AVE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063314",
            "telephone_number": "626-962-3353",
            "fax_number": "626-962-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAZON V. BUSTOS, D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-26",
        "last_updated": "2012-07-26",
        "status": "A",
        "authorized_official_last_name": "BUSTOS",
        "authorized_official_first_name": "CORAZON",
        "authorized_official_middle_name": "VIRATA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-962-3353",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ross Adam Cohen, DO
• Evelyn Johanna Cojulun, FNP
• Jennifer A Colon, PA
• Jennifer Saw Corado, M.S.W.
• Susana M. Coral, MD
• Bruce E. Corigliano, MD
• Corina Ramirez, DDS, Inc
• Edgar Corona
• Alma Iliana Cortez Ramos, M.D.
• Myrna Cortez, RPH

• General Practice Dentistry in Baldwin Park, CA
• Providers in Baldwin Park, 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 26, 2012; 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.