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MARIO BUSTAMANTE MD PA
NPI 1477757334
Specialist in San Antonio, TX

Active since June 13, 2007
12770 CIMARRON PATH, SUITE 132, SAN ANTONIO, TX 78249(210) 733-1802(210) 733-1808 Get Directions Write a Review

NPPES record last updated: January 5, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mario Bustamante Md Pa NPPES

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

MARIO BUSTAMANTE MD PA (NPI 1477757334) is a healthcare organization registered as a specialist in San Antonio, Texas and active in the NPI registry since June 2007. The organization lists Leticia A Cantu, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1477757334
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMARIO BUSTAMANTE MD PA
Location Address12770 CIMARRON PATH, SUITE 132San Antonio, TX 78249-3416
Mailing Address12770 Cimarron Path, Suite 132San Antonio, TX 78249-3416 · (210) 733-1802 · Fax (210) 733-1808
Phone(210) 733-1802
Fax(210) 733-1808
Organization SubpartNo
Authorized OfficialLeticia A CantuBilling Manager · (210) 733-1802
Enumeration DateJune 13, 2007
Last NPPES UpdateJanuary 5, 2016
✔ NPI 1477757334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · C14004
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
12770 CIMARRON PATH, San Antonio, TX 78249
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Other Identifiers 4

Other0076MNTX · Blue Cross Group
Medicare NSC4842170001TX
Medicaid168353401TX
Medicare ID-Type Unspecified00111WTX · Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 8

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

MR. CHARLES RAY HUNTER SR. OTR
Occupational Therapist
12770 CIMARRON PATH, SUITE 132
SAN ANTONIO, TX 78249
Bexar County (210) 394-0649
JAMES EDWARD ROBERTSON OTR
Occupational Therapist
12770 CIMARRON PATH, SUITE 132
SAN ANTONIO, TX 78249
Bexar County (210) 561-5777
MR. TONY MICHAEL VALDEZ OTR
Occupational Therapist
12770 CIMARRON PATH, 132
SAN ANTONIO, TX 78249
Bexar County (210) 561-5777
SAN ANTONIO MEDICAL CLINIC PA
Specialist
12770 CIMARRON PATH, SUITE 132
SAN ANTONIO, TX 78249
Bexar County (210) 614-3900
LAURA M DIXON PA
Physician Assistant
12770 CIMARRON PATH, SUITE 132
SAN ANTONIO, TX 78249
Bexar County (210) 614-3900
ALAMO REHABILITATION CENTER ASSOC,
Psychologist (Cognitive & Behavioral)
12770 CIMARRON PATH, 132
SAN ANTONIO, TX 78249
Bexar County (210) 614-7230
ADEPT TWO HOME HEALTH INC.
Technician (Personal Care Attendant)
12770 CIMARRON PATH, 134
SAN ANTONIO, TX 78249
Bexar County (210) 340-4445
THERAPY 180, LLC
Occupational Therapist
12770 CIMARRON PATH, SUITE 132
SAN ANTONIO, TX 78249
Bexar County (210) 561-5777

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 Mario Bustamante MD PA's NPI number?

The NPI number for Mario Bustamante MD PA is 1477757334. It was assigned to this organization in the NPPES registry on June 13, 2007.

Where is Mario Bustamante MD PA located?

Mario Bustamante MD PA is located at 12770 Cimarron Path Suite 132, San Antonio, TX 78249. The listed phone number is (210) 733-1802.

What is Mario Bustamante MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Mario Bustamante MD PA accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Molina Healthcare list Mario Bustamante MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mario Bustamante MD PA was last updated on January 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.