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ELLEN BUSTAMANTE MA, CCC-SLP
NPI 1619405214
Speech-Language Pathologist in Pomona, CA

Active since May 25, 2017
255 E BONITA AVE, POMONA, CA 91767(909) 596-7733 Get Directions Write a Review

NPPES record last updated: November 8, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 8, 2019, May 25, 2017 (2 updates tracked since 2017).

About Ellen Bustamante Ma, Ccc-slp NPPES

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

ELLEN BUSTAMANTE MA, CCC-SLP (NPI 1619405214) is an individual speech-language pathologist provider in Pomona, California, licensed in Nevada (2254) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1619405214
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameELLEN BUSTAMANTECredential: MA, CCC-SLP
Location Address255 E BONITA AVEPomona, CA 91767-1923
Mailing Address6131 Andover Wood RdLas Vegas, NV 89113-1882 · (714) 928-4009
Phone(909) 596-7733
Sole ProprietorNo
Enumeration DateMay 25, 2017
Last NPPES UpdateNovember 8, 20192 updates tracked since enumeration
✔ NPI 1619405214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses✔ Licensed in NV · 2254✔ Licensed in CA · 22155
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
255 E BONITA AVE, Pomona, CA 91767
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Other Identifiers 1

Other22155CA · Slp State License

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.

SUCHADA TACHASOOKSAREE MSPAS, MPH, PA-C
Physician Assistant
255 E BONITA AVE
POMONA, CA 91767
Los Angeles County (909) 593-7437
MICHAEL MARINELLO
Nurse Practitioner
255 E BONITA AVE
POMONA, CA 91767
Los Angeles County (909) 643-2980
DR. KERRY NORMAN GOTT M.D.
Internal Medicine (Infectious Disease)
255 E BONITA AVE
POMONA, CA 91767
Los Angeles County (909) 596-7733
WENDY WANG OTR/L
Occupational Therapist (Physical Rehabilitation)
255 E BONITA AVE
POMONA, CA 91767
Los Angeles County (909) 596-7733
VANESSA PAI
Specialist/Technologist (Athletic Trainer)
255 E BONITA AVE
POMONA, CA 91767
Los Angeles County (909) 859-5652
MICHELE ALANIZ OTR/L
Occupational Therapist
255 E BONITA AVE
POMONA, CA 91767
Los Angeles County (909) 596-7733
TERESA LANDIS
Dietitian, Registered
255 E BONITA AVE, 2ND FLOOR, SUITE 200
POMONA, CA 91767
Los Angeles County (909) 519-3207
SARAH OLIVIA YAGHOUBI PT, DPT
Physical Therapist (Neurology)
255 E BONITA AVE
POMONA, CA 91767
Los Angeles County (909) 596-7733

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 Ellen Bustamante's NPI number?

The NPI number for Ellen Bustamante is 1619405214. It was assigned to this individual provider in the NPPES registry on May 25, 2017.

Where is Ellen Bustamante located?

Ellen Bustamante practices at 255 E Bonita Ave, Pomona, CA 91767. The listed phone number is (909) 596-7733.

What is Ellen Bustamante's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Ellen Bustamante was last updated on November 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.