VINCENT ELISEO BUSTAMANTE
NPI 1235834235
Student in an Organized Health Care Education/Training Program in Lakewood, CO

Q: What is Vincent Bustamante's NPI number?

The NPI number for Vincent Bustamante is 1235834235. It was assigned to this individual provider in the NPPES registry on March 31, 2023.

Q: What is Vincent Bustamante's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 31, 2023PECOS Enrolled

11600 W 2ND PL, LAKEWOOD, CO 80228(720) 321-1708 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2023, Apr 5, 2023, Mar 31, 2023 (3 updates tracked since 2023).

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About Vincent Eliseo Bustamante NPPES

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

VINCENT ELISEO BUSTAMANTE (NPI 1235834235) is an individual student in an organized health care education/training program in Lakewood, Colorado and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235834235

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameVINCENT ELISEO BUSTAMANTE

Location Address11600 W 2ND PLLakewood, CO 80228-1527

Mailing Address11600 W 2nd PlLakewood, CO 80228-1527 · (720) 321-1708

Phone(720) 321-1708

Sole ProprietorNo

Enumeration DateMarch 31, 2023

Last NPPES UpdateApril 10, 20233 updates tracked since enumeration

NPPES CertifiedApril 10, 2023

✔ NPI 1235834235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

11600 W 2ND PL, Lakewood, CO 80228

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vincent Eliseo Bustamante is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

DR. KATHRYN BURKHARDT GOEKE MD

Hospitalist