JESSICA ERENE BUSTOS PAZ


Address: 12402 Kayreid Dr, Whittier, CA 90605-4213
Phone: 5623147088

JESSICA ERENE BUSTOS PAZ (NPI# 1326600289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326600289
Entity Type Individual
Full Name JESSICA ERENE BUSTOS PAZ
Credential DNP
Practice Address 12402 Kayreid Dr
Whittier
CA 90605-4213
Practice Telephone 5623147088
Mailing Telephone 5623147088
Enumeration Date 2019-07-01
Last Update Date 2019-07-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
95022265 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 12402 KAYREID DR
City WHITTIER
State CA
Zip Code 90605-4213

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City WHITTIER
Zip Code 90605

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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