DR. MANUEL ANTHONY BUSTAMANTE (NPI# 1912211426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912211426 |
| Entity Type | Individual |
| Full Name | DR. MANUEL ANTHONY BUSTAMANTE |
| Credential | DDS |
| Practice Address |
11645 Wilshire Blvd Suite 1160 Los Angeles CA 90025-6811 |
| Practice Telephone | 3104735559 |
| Mailing Telephone | 3104735559 |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2010-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
29218 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689949042 | Manuel A. Bustamante | Case Manager/Care Coordinator | 105 W Griggs Ave, Las Cruces, NM 88001 | 2012-03-19 |
| 1568411809 | Manuel Fabian Bustamante | Internal Medicine | 1656 Medical Blvd, Naples, FL 34110-1423 | 2006-05-05 |
| Street Address |
11645 WILSHIRE BLVD SUITE 1160 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90025-6811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063475986 | Scott Ritchey Sale | Specialist | 11645 Wilshire Blvd, Suite 1090, Los Angeles, CA 90025-1708 | 2006-04-11 |
| 1801244108 | Nicole Karman Gilbert | Psychologist | 11645 Wilshire Blvd, Suite 1065, Los Angeles, CA 90025-1708 | 2016-05-26 |
| 1972988491 | Eric J. Meinhardt, M.d., A Professional Corporation | Dermatology | 11645 Wilshire Blvd, 1080, Los Angeles, CA 90025-1708 | 2015-07-26 |
| 1821482258 | Taraneh F. Noorvash Dds Inc | Clinic/Center | 11645 Wilshire Blvd, Suite 1060, Los Angeles, CA 90025-1708 | 2015-03-24 |
| 1245638253 | Maurice Firouz, D.d.s., Inc. | Clinic/Center | 11645 Wilshire Blvd, 1060, Los Angeles, CA 90025-1708 | 2014-12-08 |
| 1619374238 | Maurice K Masliah | Dentist | 11645 Wilshire Blvd, Ste 1158, Los Angeles, CA 90025-1708 | 2014-11-25 |
| 1720322415 | Brentwood Medical Group A Professional Medical Corp | Internal Medicine | 11645 Wilshire Blvd, Suite 745, Los Angeles, CA 90025-1708 | 2012-11-19 |
| 1023360039 | Med-x Drug & Alcohol Testing Services | Legal Medicine | 11645 Wilshire Blvd, Suite 825, Los Angeles, CA 90025-1708 | 2012-10-15 |
| 1174899686 | Advanced Interventional Pain Center La | Pain Medicine | 11645 Wilshire Blvd, Suite 852, Los Angeles, CA 90025-6808 | 2012-03-29 |
| 1033436654 | Eric Joel Meinhardt | Dermatology | 11645 Wilshire Blvd, Suite 1080, Los Angeles, CA 90025-1708 | 2010-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
| 1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
| 1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
| 1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
| 1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
| 1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
| 1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
| 1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
| 1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
| Find all providers in zip 90025 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1295291276 | Kevin B. Seto, D.d.s, M.s., P.C. | Dentist | 8930 S Sepulveda Blvd Ste 101, Los Angeles, CA 90045-3606 | 2019-02-14 |
| 1063978252 | Chang Kattar Dental Corporation | Dentist | 8540 S Sepulveda Blvd Ste 1210, Los Angeles, CA 90045-3819 | 2019-02-13 |
| 1407334683 | Jose Ignacio Perea | Dentist | 12300 Wilshire Blvd Ste 404, Los Angeles, CA 90025-1061 | 2018-07-31 |
| 1336675354 | Berlin and Levitt Dental Partnership | Dentist | 1050 S Grand Ave, Suite 2, Los Angeles, CA 90015-4284 | 2017-05-11 |
| 1851832703 | Ana Paola Meneses Zambrano | Dentist | 11905 S Central Ave Ste 203, Los Angeles, CA 90059-2897 | 2017-03-12 |
| 1629407135 | Hiri Etessami | Dentist | 9201 W Sunset Blvd Ste 908, Los Angeles, CA 90069-3710 | 2013-11-05 |
| 1750646261 | Reuben Johnson | Dentist | 5127 Parkglen Ave, Los Angeles, CA 90043-1033 | 2012-07-10 |
| 1932499100 | Roberto Roges | Dentist | 8540 S Sepulveda Blvd Ste 1117, Los Angeles, CA 90045-3819 | 2011-04-08 |
| 1063725638 | Pejman Parsa | Dentist | 10921 Wilshire Blvd Ste 1203, Los Angeles, CA 90024-4005 | 2010-07-23 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90025 |
Please comment or provide details below to improve the information on DR. MANUEL ANTHONY 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.