Jerrodl C Bustos MD Inc

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

A85842 Issued in CA

Legal business name

JERRODL C BUSTOS MD INC

Practice address

15775 Laguna Canyon Rd
Suite 120
Irvine, CA 92618-3189

Phone

(949) 588-2190

Fax

(949) 588-2199

NPI assigned

Jan 18, 2012

Organization subpart

No

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

Authorized official

Name

Jerrold C Bustos, MD

Title

President

Phone

(949) 588-2190

Specialties & licenses 1

Addresses

Tax ID family

Jerrold C Bustos MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jerrold C Bustos MD, Inc

  • Anesthesiology Physician
  • Glendale, CA
  • NPI 1548551930
  NPD tax ID

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1902177231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HOLLAND STE 101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182568",
            "telephone_number": "949-588-2190",
            "fax_number": "949-588-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15775 LAGUNA CANYON RD",
            "address_2": "SUITE 120",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183189",
            "telephone_number": "949-588-2190",
            "fax_number": "949-588-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRODL C BUSTOS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "BUSTOS",
        "authorized_official_first_name": "JERROLD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-588-2190",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "A85842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey Ranae Jensen, LMT
• Aron Jeon
• Peter Jeon, DDS
• Eugene Jeong, PHARMD
• Jerome Choe Dental Corporation
• Jerry Hsieh, M.D., Inc.
• Marinda Lee Jesme, M.ED., LPCC
• Parvez P Jessani, MD
• Jessica Lee Psychological Corporation
• Catherine Jeter, PA-C

• Pain Medicine Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.