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DR. RUDOLPH BUSTAMANTE M.D.
NPI 1124088968
Pediatrics in Casa Grande, AZ

Active since March 24, 2006
1856 E FLORENCE BLVD, CASA GRANDE, AZ 85122(520) 381-0380(520) 836-1826 Get Directions Write a Review

NPPES record last updated: October 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Rudolph Bustamante M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RUDOLPH BUSTAMANTE M.D. (NPI 1124088968) is an individual pediatrics provider in Casa Grande, Arizona, licensed in Arizona (6500) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1124088968
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. RUDOLPH BUSTAMANTECredential: M.D.
Location Address1856 E FLORENCE BLVDCasa Grande, AZ 85122-5303
Mailing AddressPo Box 10097Casa Grande, AZ 85130-0020 · (520) 836-3446 · Fax (520) 836-8807
Phone(520) 381-0380
Fax(520) 836-1826
Sole ProprietorNo
Enumeration DateMarch 24, 2006
Last NPPES UpdateOctober 14, 2011
✔ NPI 1124088968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AZ · 6500
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1856 E FLORENCE BLVD, Casa Grande, AZ 85122
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Other Identifiers 6

Medicare UPINH27479AZ
Other03-31815Medicare
OtherZ137312Medicare
Other03-1881Medicare
OtherZFQ31815Medicare
Medicaid510984AZ

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KYLE MACKEY DDS
Student in an Organized Health Care Education/Training Program
1856 E FLORENCE BLVD
CASA GRANDE, AZ 85122
Pinal County (520) 836-5036
CASSANDRA AMALIA LYNN PA-C
Physician Assistant
1856 E FLORENCE BLVD
CASA GRANDE, AZ 85122
Pinal County (520) 836-3446
SAVANNAH MARIE WALKER MPAS
Physician Assistant (Medical)
1856 E FLORENCE BLVD
CASA GRANDE, AZ 85122
Pinal County (520) 836-5036
DR. PETER FRANCIS CAMMANS DO
Pediatrics
1856 E FLORENCE BLVD
CASA GRANDE, AZ 85122
Pinal County (520) 836-5036
MARIA ABAD MD
Pediatrics
1856 E FLORENCE BLVD
CASA GRANDE, AZ 85122
Pinal County (520) 381-0380
SUN LIFE FAMILY HEALTH CENTER, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1856 E FLORENCE BLVD
CASA GRANDE, AZ 85122
Pinal County (520) 381-0380
CHERYL ROBUCK FNP-C
Nurse Practitioner (Family)
1856 E FLORENCE BLVD
CASA GRANDE, AZ 85122
Pinal County (520) 836-5036
MS. MELISSA ANN BYRAM MD
Pediatrics
1856 E FLORENCE BLVD
CASA GRANDE, AZ 85122
Pinal County (520) 836-5036

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rudolph Bustamante's NPI number?

The NPI number for Rudolph Bustamante is 1124088968. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Rudolph Bustamante located?

Rudolph Bustamante practices at 1856 E Florence Blvd, Casa Grande, AZ 85122. The listed phone number is (520) 381-0380.

What is Rudolph Bustamante's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Rudolph Bustamante was last updated on October 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.