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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

IVAN BUSTAMANTE
NPI 1346720679
Social Worker - Clinical in Pasadena, CA

Active since August 16, 2018
867 N FAIR OAKS AVE, PASADENA, CA 91103(626) 797-6793 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 1, 2026, Mar 11, 2025, May 15, 2024 and 4 more (7 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 Pasadena, California, licensed in California (LCSW116016) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1346720679
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameIVAN BUSTAMANTE
Location Address867 N FAIR OAKS AVEPasadena, CA 91103-3050
Mailing Address867 N Fair Oaks AvePasadena, CA 91103-3050 · (626) 797-6793
Phone(626) 797-6793
Sole ProprietorNo
Enumeration DateAugust 16, 2018
Last NPPES UpdateOctober 1, 20267 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ 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.
867 N FAIR OAKS AVE, Pasadena, CA 91103
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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.

ERENDIDA MORENO
Rehabilitation Practitioner
867 N FAIR OAKS AVE
PASADENA, CA 91103
Los Angeles County (626) 993-3100
CHLOE CAMARENA
Social Worker (Clinical)
867 N FAIR OAKS AVE
PASADENA, CA 91103
Los Angeles County (999) 999-9999
MR. NICHOLAS TRINIDAD MORAN
Rehabilitation Practitioner
867 N FAIR OAKS AVE
PASADENA, CA 91103
Los Angeles County (626) 798-6793
MARTHA COWLEY LMFT
Marriage & Family Therapist
867 N FAIR OAKS AVE
PASADENA, CA 91103
Los Angeles County (626) 798-6793
MISS WENDY MARIE GUTIERREZ LMFT #105657
Marriage & Family Therapist
867 N FAIR OAKS AVE
PASADENA, CA 91103
Los Angeles County (626) 798-6793
CHARLES GREGORY AUGUSTUS
Rehabilitation Practitioner
867 N FAIR OAKS AVE
PASADENA, CA 91103
Los Angeles County (626) 111-1111
BRITTANY GUTIERREZ
Community Health Worker
867 N FAIR OAKS AVE
PASADENA, CA 91103
Los Angeles County (626) 798-6793
TIFFANY S. MARSHALL
Rehabilitation Practitioner
867 N FAIR OAKS AVE
PASADENA, CA 91103
Los Angeles County (626) 798-6793

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 867 N Fair Oaks Ave, Pasadena, CA 91103. The listed phone number is (626) 797-6793.

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 October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.