Robert Leonard Busuttil, ABC CO BOC BOCPO

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Practice address

367 Ervilla St
Suite a
Pomona, CA 91767

Phone

(909) 629-7615

NPI assigned

Oct 13, 2006

Last updated

Nov 29, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• P V O Health Care

  dba pomona valley orthopedic

  • Prosthetic/Orthotic Supplier
  • Pomona, CA
  • NPI 1831370931
  Authorized official Same address or phone
• Pvo Helthcare Inc

  dba Pomona Valley Orthopedic

  • Prosthetic/Orthotic Supplier
  • Pomona, CA
  • NPI 1659553907
  Authorized official Same address or phone
• Quality Orthotics Prosthetics Inc

  • Prosthetic/Orthotic Supplier
  • Pomona, CA
  • NPI 1710390083
  Authorized official Same address or phone

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1861582652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 ERVILLA ST",
            "address_2": "SUITE A",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91767",
            "telephone_number": "909-629-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 ERVILLA ST",
            "address_2": "SUITE A",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91767",
            "telephone_number": "909-629-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSUTTIL",
        "first_name": "ROBERT",
        "middle_name": "LEONARD",
        "name_prefix": "Mr.",
        "credential": "ABC CO BOC BOCPO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MD",
            "license": "C10438",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Bustamante
• Ellen Bustamante, MA, CCC-SLP
• Jessica Bustamante
• Steven Kalani Sinfuego Bustamante, MD
• Jason R Busuttil, BOCP
• Shailesh Manharlal Butala, D.D.S
• Zadie J Butkiewicz
• Joshua Keith Butler
• Lamichelle Butler
• Lisa Carrie Butler

• Prosthetic/Orthotic Supplier in Pomona, CA
• Providers in Pomona, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.