ELISABETH INOMAA-BUSTILLOS
NPI 1639487374
Psychologist - Clinical in Murrieta, CA

Active since September 15, 2010PECOS EnrolledAccepts Medicare Assignment
29995 TECHNOLOGY DR STE 103, MURRIETA, CA 92563(323) 302-1564 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 21, 2021, Aug 3, 2019 (2 updates tracked since 2019).

About Elisabeth Inomaa-bustillos NPPES

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

ELISABETH INOMAA-BUSTILLOS (NPI 1639487374) is an individual clinical provider in Murrieta, California, licensed in California (PSY27017) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1639487374
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameELISABETH INOMAA-BUSTILLOS
Location Address29995 TECHNOLOGY DR STE 103Murrieta, CA 92563-2633
Mailing Address29995 Technology Dr Ste 103Murrieta, CA 92563-2633 · (323) 302-1564 · Fax (323) 967-7081
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 15, 2010
Last NPPES UpdateMay 21, 20212 updates tracked since enumeration
NPPES CertifiedMay 21, 2021
NPI 1639487374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY27017
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

29995 TECHNOLOGY DR STE 103, Murrieta, CA 92563

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Elisabeth Inomaa-bustillos 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.

PECOS PAC ID1153650379
PECOS Enrollment IDI20190912001117
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 92563 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
$179.42 typical visit price
range $59.60 – $179.42
Typical copayment $44.85 (range $14.90 – $44.85)
Most-billed visit code 99205
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 8

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

Physical Therapist
29995 TECHNOLOGY DR STE 103
MURRIETA, CA 92563
Marriage & Family Therapist
29995 TECHNOLOGY DR STE 103
MURRIETA, CA 92563
Marriage & Family Therapist
29995 TECHNOLOGY DR STE 103
MURRIETA, CA 92563
Marriage & Family Therapist
29995 TECHNOLOGY DR STE 103
MURRIETA, CA 92563
Marriage & Family Therapist
29995 TECHNOLOGY DR STE 103
MURRIETA, CA 92563
Marriage & Family Therapist
29995 TECHNOLOGY DR STE 103
MURRIETA, CA 92563
Marriage & Family Therapist
29995 TECHNOLOGY DR STE 103
MURRIETA, CA 92563
Psychologist (Forensic)
29995 TECHNOLOGY DR STE 103
MURRIETA, CA 92563

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639487374, enumerated as an "individual" on September 15, 2010.

The provider is located at 29995 TECHNOLOGY DR STE 103 MURRIETA, CA 92563 and the phone number is (323) 302-1564.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.