OrganizationActive
Bustillo Medical Corp, Inc
NPI 1316169105 · Specialist · Fountain Valley, CA
Bustillo Medical Corp, Inc is a Specialist organization in Fountain Valley, CA (NPI 1316169105).
Provider details
- NPI number
- 1316169105
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Gerardo Bustillo, President(714) 378-5552
- License
- G51357 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
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
9900 Talbert Ave
Suite 202
Fountain Valley, CA 92708-5153
Phone: (714) 378-5552
Fax: (714) 378-5541
Street-level locationGet directions
Mailing address
9900 Talbert Ave
Fountain Valley, CA 92708-5153
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2009-05-08
Frequently asked questions
- What is Bustillo Medical Corp, Inc's NPI number?
- Bustillo Medical Corp, Inc's National Provider Identifier (NPI) is 1316169105, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bustillo Medical Corp, Inc?
- Bustillo Medical Corp, Inc is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Bustillo Medical Corp, Inc located?
- Bustillo Medical Corp, Inc's practice location on file with NPPES is 9900 Talbert Ave, Fountain Valley, CA 92708-5153.
- What is Bustillo Medical Corp, Inc's phone number?
- The practice phone number listed in the NPPES registry for Bustillo Medical Corp, Inc is (714) 378-5552.
- Who is the authorized official for Bustillo Medical Corp, Inc?
- The authorized official listed on Bustillo Medical Corp, Inc's NPPES record is Gerardo Bustillo, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bustillo Medical Corp, Inc's NPI active?
- Yes — Bustillo Medical Corp, Inc's NPI (1316169105) is active in the NPPES registry as of the last update on 2009-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.