Mr Juan Carlos Bustos, is a
Social Worker - Clinical based in Pasadena, California. Mr Juan Carlos Bustos is licensed to practice in California (license number LCSW104590) and his current practice location is
210 S De Lacey Ave Ste 110, Pasadena, California. He can be reached at his office (for appointments etc.) via phone at
(626) 395-7100.
NPI number for Mr Juan Carlos Bustos is 1588907406 and his current mailing address is 333 S Beaudry Ave, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588907406.
Healthcare Provider's Profile
| Full Name | Mr Juan Carlos Bustos |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 210 S De Lacey Ave Ste 110, Pasadena, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1588907406
- Provider Enumeration Date: 03/28/2013
- Last Update Date: 01/10/2022
Medical Identifiers
Medical identifiers for Mr Juan Carlos Bustos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588907406 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW104590 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Juan Carlos Bustos is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Juan Carlos Bustos,
333 S Beaudry Ave,
Los Angeles, CA 90017-1466
Ph: (213) 241-3841 | Mr Juan Carlos Bustos,
210 S De Lacey Ave Ste 110,
Pasadena, CA 91105
Ph: (626) 395-7100 |
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