EDWARD J BUSTAMANTE (NPI# 1629365655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629365655 |
| Entity Type | Individual |
| Full Name | EDWARD J BUSTAMANTE |
| Credential | R.R.W. |
| Practice Address |
68100 Ramon Rd Cathedral Cty CA 92234-3387 |
| Mailing Address |
1227 Foster Street Beaumont CA 92223 |
| Practice Telephone | 7603210870 |
| Mailing Telephone | 9093804514 |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427165497 | Edward Bustamante | Optometrist | 310 Valley High Dr, San Antonio, TX 78227-1676 | 2006-08-24 |
| 1326154832 | Edward A Bustamante | Podiatrist | 9220 Sunset Dr Ste 201, Miami, FL 33173-3259 | 2006-08-21 |
| Street Address |
68100 RAMON RD |
| City | CATHEDRAL CTY |
| State | CA |
| Zip Code | 92234-3387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559661 | Susan Lim | Pharmacist | 68018 Vista Chino, Cathedral City, CA 92234 | 2020-05-08 |
| 1306479936 | Aragon Medical Transport Inc. | Non-emergency Medical Transport (VAN) | 33775 Wishing Well Trl # 92234, Cathedral City, CA 92234 | 2020-02-21 |
| 1770973984 | K C Loo Dds A Dental Corp | Dentist | 68487 E. Palm Canyon Dr Bldg #1, Cathedral City, CA 92234 | 2015-01-26 |
| 1124426614 | Catherine Rodriguez | Counselor | 68100 Ramon Road, Cathedral City, CA 92234 | 2014-12-15 |
| 1760889323 | Serenity Congregate Care | Skilled Nursing Facility | 31730 Avenida Del Padre, Cathedral City, CA 92234 | 2014-11-25 |
| 1043622202 | Ruben Mendez Dds A Professional Corporation | Dentist | 68100 Ramon Rd., A 4, Cathedral City, CA 92234 | 2014-05-22 |
| 1801224670 | Stepping Stones Community Church of The Desert | Voluntary or Charitable | 216 Via Genova, Cathedral City, CA 92234 | 2013-10-14 |
| 1841576337 | Cristina Rene Jester | Case Manager/Care Coordinator | 68425 Perez Road, Suite 11, Cathedral City, CA 92234 | 2011-10-27 |
| 1356649438 | Kimberly Coppage | Case Manager/Care Coordinator | 68-625 Perez Rd, 11-a, Cathedral City, CA 92234 | 2011-03-14 |
| 1376703355 | Michael Day | Chiropractor | 465 Coyote, Cathedral City, CA 92234 | 2008-06-12 |
| Find all providers in zip 92234 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457377 | Marian Locke | Counselor | 3901 W Adams Blvd, Los Angeles, CA 90018-1756 | 2020-11-05 |
| 1538760871 | Ky Washington | Counselor | 1625 Sweetwater Rd # C1, National City, CA 91950-7647 | 2020-11-03 |
| 1164022976 | Denise Renee Hands | Counselor | 4604 E Terrace Ave, Fresno, CA 93703-2079 | 2020-10-30 |
| 1871193888 | Daniel Luna | Counselor | 811 Beacon Ave, Los Angeles, CA 90017-2113 | 2020-10-28 |
| 1548869266 | Yama Totakhail | Counselor | 915 Bryant St # 94103, San Francisco, CA 94103-4514 | 2020-10-23 |
| 1053910901 | Eduardo Alberto Perez | Counselor | 8829 Dewsbury Ave, San Diego, CA 92126-2428 | 2020-10-21 |
| 1285233155 | Alaric Fairchild | Counselor | 1400 N Johnson Ave Ste 1011400n, El Cajon, CA 92020-1650 | 2020-10-21 |
| 1487253571 | Roxanne Rene Coito | Counselor | 1919 Apple St # D, Oceanside, CA 92054-4425 | 2020-10-20 |
| 1255939732 | Diana Palencia | Counselor | 44459 10th St W, Lancaster, CA 93534-3324 | 2020-10-15 |
| 1962000240 | Frederick P Delafield Iv | Counselor | 679 1/2 Levering Ave, Los Angeles, CA 90024-2350 | 2020-10-09 |
| Find all providers with the same taxonomy | ||||
| City | CATHEDRAL CTY |
| Zip Code | 92234 |
Please comment or provide details below to improve the information on EDWARD J BUSTAMANTE.
| 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.