LILIANA JULISSA DIAZ BUSTAMANTE MD
NPI 1619472396
Family Medicine - Hospice and Palliative Medicine in Panorama City, CA

Q: What is Liliana Diaz Bustamante's NPI number?

The NPI number for Liliana Diaz Bustamante is 1619472396. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Q: What is Liliana Diaz Bustamante's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Active since March 26, 2018PECOS Enrolled

14850 ROSCOE BLVD, PANORAMA CITY, CA 91402(818) 787-2222 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jul 15, 2026, Mar 26, 2018 (2 updates tracked since 2018).

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About Liliana Julissa Diaz Bustamante Md NPPES

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

LILIANA JULISSA DIAZ BUSTAMANTE MD (NPI 1619472396) is an individual hospice and palliative medicine provider in Panorama City, California, licensed in California (A198695) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619472396

Entity TypeIndividualFemale

Primary Taxonomy207QH0002X

Provider Legal NameLILIANA JULISSA DIAZ BUSTAMANTECredential: MD

Location Address14850 ROSCOE BLVDPanorama City, CA 91402-4618

Mailing Address14850 Roscoe BlvdPanorama City, CA 91402-4618 · (818) 787-2222

Phone(818) 787-2222

Sole ProprietorNo

Enumeration DateMarch 26, 2018

Last NPPES UpdateJuly 15, 20262 updates tracked since enumeration

NPPES CertifiedJuly 15, 2026

✔ NPI 1619472396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QH0002X

License✔ Licensed in CA · A198695

Definition

A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

14850 ROSCOE BLVD, Panorama City, CA 91402

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Liliana Julissa Diaz Bustamante Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

YOHANNES HAILE MD

Student in an Organized Health Care Education/Training Program