SOFIA CARMEN BUSTILLO
NPI 1275144313
Physician Assistant - Medical in Seal Beach, CA

Q: What is Sofia Bustillo's NPI number?

The NPI number for Sofia Bustillo is 1275144313. It was assigned to this individual provider in the NPPES registry on August 12, 2020.

Q: What is Sofia Bustillo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Sofia Bustillo was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since August 12, 2020PECOS EnrolledAccepts Medicare Assignment

94.62/100

CMS Quality Rating

1709 CORAL PL, SEAL BEACH, CA 90740(562) 588-5143 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jul 9, 2026, Dec 17, 2024, May 27, 2022 and 1 more (4 updates tracked since 2020).

On this page

About Sofia Carmen Bustillo NPPES

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

SOFIA CARMEN BUSTILLO (NPI 1275144313) is an individual medical provider in Seal Beach, California, licensed in California (58679) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Monica, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1275144313

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameSOFIA CARMEN BUSTILLO

Location Address1709 CORAL PLSeal Beach, CA 90740-5712

Mailing Address1709 Coral PlSeal Beach, CA 90740-5712 · (562) 588-5143

Phone(562) 588-5143

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 12, 2020

Last NPPES UpdateJuly 9, 20264 updates tracked since enumeration

NPPES CertifiedJuly 9, 2026

✔ NPI 1275144313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · 58679

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA58679 (CA)

1709 CORAL PL, Seal Beach, CA 90740

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Secondary Practice Location 1

Location 1901 Wilshire Blvd Fl 1Santa Monica, CA 90401-1854 · Phone (310) 829-8441

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sofia Carmen Bustillo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416335559

PECOS Enrollment IDI20220602000751

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

245 services240 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

160 services155 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

18 services18 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

12 services11 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.62/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.67

Improvement Activities

Cost

97.14

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 Sofia Bustillo's NPI number?

The NPI number for Sofia Bustillo is 1275144313. It was assigned to this individual provider in the NPPES registry on August 12, 2020.

Where is Sofia Bustillo located?

Sofia Bustillo practices at 1709 Coral Pl, Seal Beach, CA 90740. The listed phone number is (562) 588-5143.

What is Sofia Bustillo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Sofia Bustillo enrolled in Medicare?

Yes. Sofia Bustillo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Sofia Bustillo was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.