Jackie Bustamante
NPI 1174682009 · Marriage & Family Therapist · Banning, CA
Jackie Bustamante is a Marriage & Family Therapist provider in Banning, CA (NPI 1174682009).
Provider details
- NPI number
- 1174682009
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 30317 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-06
- Last updated
- 2026-02-22
- Certified
- 2026-02-22
Frequently asked questions
- What is Jackie Bustamante's NPI number?
- Jackie Bustamante's National Provider Identifier (NPI) is 1174682009, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackie Bustamante's specialty?
- Jackie Bustamante is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist (Behavioral Health & Social Service Providers).
- Where is Jackie Bustamante located?
- Jackie Bustamante's practice location on file with NPPES is 2200 W Wilson St Spc 33, Banning, CA 92220-3953.
- What is Jackie Bustamante's phone number?
- The practice phone number listed in the NPPES registry for Jackie Bustamante is (840) 336-3506.
- Is Jackie Bustamante's NPI active?
- Yes — Jackie Bustamante's NPI (1174682009) is active in the NPPES registry as of the last update on 2026-02-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.