MIRIAM LEAH BUSTAMANTE LCSW
NPI 1447950860
Social Worker - Clinical in Dana Point, CA
About Miriam Leah Bustamante Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIRIAM LEAH BUSTAMANTE LCSW (NPI 1447950860) is an individual clinical provider in Dana Point, California, licensed in California (88666) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Miriam Leah Bustamante Lcsw 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.
Medicare Billing Reassignment
Medicare enrollment records show Miriam Bustamante reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grass Valley, CA 95945
- Reassigned Medicare billing, California enrollment
- 27 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92629 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Miriam Bustamante's NPI number?
The NPI number for Miriam Bustamante is 1447950860. It was assigned to this individual provider in the NPPES registry on March 6, 2023.
Where is Miriam Bustamante located?
Miriam Bustamante practices at 24311 Santa Clara Ave Apt 1, Dana Point, CA 92629. The listed phone number is (714) 200-6219.
What is Miriam Bustamante's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Miriam Bustamante enrolled in Medicare?
Yes. Miriam Bustamante 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.
Which organization bills Medicare for Miriam Bustamante's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Miriam Bustamante reassigns Medicare benefits to Sierra Family Therapy Centers, Inc. (Grass Valley, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Miriam Bustamante's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Miriam Bustamante was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Miriam Leah Bustamante, LCSW · NPI 1447950860
Clinical provider in Dana Point, California. Individual provider, active in the CMS NPPES registry since March 6, 2023.
## Identity
- **NPI:** 1447950860 (Entity type: Individual)
- **Enumerated:** March 6, 2023
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 88666 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 24311 SANTA CLARA AVE APT 1, Dana Point, CA 92629-3019
- **Phone:** (714) 200-6219
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sierra Family Therapy Centers, Inc. (NPI 1336648385, Grass Valley, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** April 12, 2023
- **Other identifiers:** Other 88666 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1447950860) · Data from the CMS NPPES public registry.