Javier Bustamante, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A40966 Issued in CA

Practice address

300 Old River Rd
Suite 105
Bakersfield, CA 93311-9503

Phone

(661) 663-4700

Fax

(661) 663-4740

NPI assigned

May 28, 2006

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

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Bakersfield Memorial Hospital

  dba Bakersfield Memorial Hospital Pharmacy

  • Institutional Pharmacy
  • Bakersfield, CA
  • NPI 1144256363
  NPD (past)
• Coastal Kids, a Professional Medical Corporation

  dba Coastal Kids

  • Pediatrics Physician
  • Newport Beach, CA
  • NPI 1740311737
  NPD (past)

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443744000000",
    "number": "1881641595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 OLD RIVER RD",
            "address_2": "SUITE 105",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119503",
            "telephone_number": "661-663-4700",
            "fax_number": "661-663-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OLD RIVER RD",
            "address_2": "SUITE 105",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119503",
            "telephone_number": "661-663-4700",
            "fax_number": "661-663-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTAMANTE",
        "first_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2015-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A40966",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A40966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Frederick Busch, MD
• Kari Bush
• Jessica Busko
• Heather Renae Bustamante
• Isabelo Lucho Bustamante IV, MD
• Sheri Lynn Bustamante, LCSW
• Alonie Elizabeth Butler, PSYD
• Cabrea Butler
• David James Butler, PHARMACIST
• Emmary Samel Butler, MD

• Pediatrics Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.