MIGUEL BUSTAMANTE (NPI# 1790247047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790247047 |
| Entity Type | Individual |
| Full Name | MIGUEL BUSTAMANTE |
| Practice Address |
540 S Eremland Dr Ste A Covina CA 91723-3186 |
| Practice Telephone | 6269661577 |
| Practice Fax Number | 6269665184 |
| Mailing Telephone | 6269661577 |
| Mailing Fax Number | 6269665184 |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-04-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
R1338340219 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194160341 | Miguel Ismael Bustamante | Dentist | 24 Wharf Road, Bolinas, CA 94924 | 2013-05-01 |
| 1861680605 | Miguel Bustamante | Orthotist | 298 San Antonio Rd, Mountain View, CA 94040-1212 | 2007-10-05 |
| 1639270929 | Miguel Bustamante | Social Worker | 3750 Commercial Ave, San Antonio, TX 78221-3117 | 2006-09-26 |
| Street Address |
540 S EREMLAND DR STE A |
| City | COVINA |
| State | CA |
| Zip Code | 91723-3186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285941849 | James A Blumenschein | Counselor | 540 S Eremland Dr Ste A, Covina, CA 91723-3186 | 2010-09-02 |
| 1174082663 | Ruben Ernesto Escamilla | Counselor | 540 S Eremland Dr Ste A, Covina, CA 91723-3186 | 2019-03-14 |
| 1265950463 | Sofia Avila | Counselor | 540 S Eremland Dr Ste A, Covina, CA 91723-3186 | 2017-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550593 | Joshua Mercado | Behavior Technician | 210 N. Citrus Ave., Covina, CA 91723 | 2020-08-26 |
| 1578104790 | Alda Shin Shin | Behavioral Analyst | 1343 S. Grand Avenue, Suite 200, Covina, CA 91723 | 2019-09-30 |
| 1063074490 | Julia De La Torre | Student in an Organized Health Care Education/Training Program | 540 S Eremland Drive, Covina, CA 91723 | 2019-07-05 |
| 1336639368 | Counseling Solutions for Children and Families, Psychology Corporation | Community/Behavioral Health | 271 E Workman St Ste 101, Covina, CA 91723 | 2018-05-15 |
| 1669995916 | Helen Wang Le | Optometrist | 554 E San Bernardino Rd Ste 102, Covina, CA 91723 | 2017-07-19 |
| 1992242879 | Donovan Kouthiraj | Behavior Technician | 210 N Citrus Ave Ste A1, Covina, CA 91723 | 2017-01-30 |
| 1427406339 | Robinson Baron Medical Clinic | Surgery | 274 W Badillo Street, Covina, CA 91723 | 2016-06-01 |
| 1306211123 | Absolute Senior Care Services, Inc | In Home Supportive Care | 599 S Barranca Ave Ste 205, Covina, CA 91723 | 2015-12-04 |
| 1780061135 | Mohan Ckd Clinic | Internal Medicine | 171 W Cottage St, Covina, CA 91723 | 2015-05-05 |
| 1992198915 | Toshihisa Takei | Otolaryngology | 202 West College Street, Covina, CA 91723 | 2015-03-16 |
| Find all providers in zip 91723 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568822617 | Gloria Adams | Counselor | 200 W Rowland St Apt 225, Covina, CA 91723-2972 | 2016-03-02 |
| 1023483120 | Christopher Nava | Counselor | 16742 E Benwood St, Covina, CA 91722-2416 | 2015-12-01 |
| 1679840649 | Andrea Anita Terrazas | Counselor | 343 N Prospero Dr Apt 3, Covina, CA 91723-2360 | 2011-11-18 |
| 1285941849 | James A Blumenschein | Counselor | 540 S Eremland Dr Ste A, Covina, CA 91723-3186 | 2010-09-02 |
| 1417261983 | National Council On Alcoholism and Drug Dependence of East San Gabriel | Counselor | 4626 North Grand Ave, Covina, CA 91724-2055 | 2010-07-27 |
| 1518286186 | Angelica Maria Moreno | Counselor | 505 S 1st Ave, Apt. 3, Covina, CA 91723-3160 | 2010-05-21 |
| 1689862625 | Elvira Quintana | Counselor | 16708 E Benwood St, Covina, CA 91722-2416 | 2007-10-03 |
| 1710196183 | Anna Laurie Cheek | Counselor | 1147 E Wanamaker Dr, Apt. A, Covina, CA 91724-3043 | 2007-05-22 |
| 1205979325 | Jimmie Charles Andrews | Counselor | 736 E Workman St Apt C, Covina, CA 91723-3645 | 2007-02-15 |
| 1295335149 | Marisol Barraza | Counselor | 4626 N Grand Ave, Covina, CA 91724-2055 | 2020-10-29 |
| Find all providers in COVINA | ||||
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| 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.