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IVAN BUSTAMANTE
NPI 1346720679
Social Worker - Clinical in San Dimas, CA

Active since August 16, 2018
180 VIA VERDE STE 200, SAN DIMAS, CA 91773(909) 599-1227 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2025, May 15, 2024, Aug 18, 2019 and 3 more (6 updates tracked since 2018).

About Ivan Bustamante NPPES

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

IVAN BUSTAMANTE (NPI 1346720679) is an individual clinical provider in San Dimas, California, licensed in California (LCSW116016) and active in the NPI registry since August 2018. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1346720679
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameIVAN BUSTAMANTE
Location Address180 VIA VERDE STE 200San Dimas, CA 91773-3993
Mailing Address1801 Huntington DrDuarte, CA 91010-2635 · (626) 993-3000
Phone(909) 599-1227
Sole ProprietorNo
Enumeration DateAugust 16, 2018
Last NPPES UpdateMarch 11, 20256 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
✔ NPI 1346720679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCSW116016
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
180 VIA VERDE STE 200, San Dimas, CA 91773
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Secondary Practice Locations 3

Location 11501 Hughes Way Ste 100Long Beach, CA 90810 · Phone (310) 221-6336
Location 211429 Valley Boulevard, El Monte, CA 91731El Monte, CA 91731 · Phone (626) 993-3000
Location 31801 Huntington DrDuarte, CA 91010-2635 · Phone (626) 993-3000

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.

CHRISTINA HERZOG-KABISCH
Social Worker (Clinical)
180 VIA VERDE STE 200
SAN DIMAS, CA 91773
Los Angeles County (909) 599-1227
MISS IRISH E. TRINIDAD AMFT
Marriage & Family Therapist
180 VIA VERDE STE 200
SAN DIMAS, CA 91773
Los Angeles County (909) 599-1227
SABRINA B VASQUEZ
Social Worker
180 VIA VERDE STE 200
SAN DIMAS, CA 91773
Los Angeles County (909) 599-1227
MCKINLEY CHILDREN'S CENTER, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
180 VIA VERDE STE 200
SAN DIMAS, CA 91773
Los Angeles County (909) 599-1227
JACQUELYN DENISE NAJERA
Social Worker (Clinical)
180 VIA VERDE STE 200
SAN DIMAS, CA 91773
Los Angeles County (909) 599-1227
FLOR RAMOS-MONTELONGO
Social Worker (Clinical)
180 VIA VERDE STE 200
SAN DIMAS, CA 91773
Los Angeles County (909) 599-1227
STEPHANIE REYES
Social Worker (Clinical)
180 VIA VERDE STE 200
SAN DIMAS, CA 91773
Los Angeles County (909) 599-1227
CRISTAL GUERRERO
Marriage & Family Therapist
180 VIA VERDE STE 200
SAN DIMAS, CA 91773
Los Angeles County (909) 599-1227

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 Ivan Bustamante's NPI number?

The NPI number for Ivan Bustamante is 1346720679. It was assigned to this individual provider in the NPPES registry on August 16, 2018.

Where is Ivan Bustamante located?

Ivan Bustamante practices at 180 Via Verde Ste 200, San Dimas, CA 91773. The listed phone number is (909) 599-1227.

What is Ivan Bustamante's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Ivan Bustamante was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.