Leticia Bustamante

Nurse Practitioner | 17+ years Exp

Accepts Medicare Nurse Practitioner in Brawley, California.
Leticia Bustamante is a Brawley, California based nurse practitioner with 17 years of experience in . She completed her graduation in 2007. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Leticia Bustamante is FNP17877 in California. Her current practice location is 751 West Legion Road, Suite 102, Brawley. Patients can reach her at 760-351-8696 or can fax her at 760-545-0253 and her NPI number (Unique professional ID assigned by NPPES) is 1609058924.
Leticia Bustamante has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.

Complete Profile:
Leticia Bustamante speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Leticia Bustamante
Specialization: Nurse Practitioner (NP)
Gender:Female
Experience: 17+ years
Medical School Attended:Other
Graduation Year:2007
Accepts Medicare Assignment:Yes
Practice Address:751 West Legion Road, Suite 102, Brawley,
California, 92227
Phone:760-351-8696
Fax:760-545-0253
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 6406134402
Enrollment ID: I20161026001179
NPI Number: 1609058924
NPI Enumeration Date: 28 Nov, 2007
NPI Last Update On: 17 Aug, 2023

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Leticia Bustamante are as mentioned below.
License NumberSpecializationStateStatus
FNP17877 CaliforniaPrimary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Leticia Bustamante is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Family Health Centers Of San Diego, Inc (3476446378)160
Other Medical Identifiers:
Other legacy medical identifiers associated with Leticia Bustamante such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
GR0066310MedicaidCalifornia
FHC03830FMedicaidCalifornia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Leticia Bustamante
823 Gateway Center Way,
San Diego, California
Zip: 92102-4541
Phone Number: 619-515-2300
Patients can reach Leticia Bustamante at 751 West Legion Road, Suite 102, Brawley, California or can call to book an appointment on 760-351-8696.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.