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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: November 01, 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
Phone(323) 302-1564
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
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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

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.

Medicare Billing Reassignment

Medicare enrollment records show Elisabeth Inomaa-bustillos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Comprehensive Forensic Evaluation Services, A Psychology Corporation
Same address
Forensic
29995 TECHNOLOGY DR STE 103
Murrieta, CA 92563
  • Reassigned Medicare billing, California enrollment
NPI 1881403038 (323) 302-1564

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 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.

CLARKE PSYCHOTHERAPY INC
Marriage & Family Therapist
29995 TECHNOLOGY DR STE 103
MURRIETA, CA 92563
Riverside County (951) 378-5233
ALYSSA CHRISTENSEN
Marriage & Family Therapist
29995 TECHNOLOGY DR STE 103
MURRIETA, CA 92563
Riverside County (951) 465-4004
MISS NISHANA R CLARKE M.S., MFT
Marriage & Family Therapist
29995 TECHNOLOGY DR STE 103
MURRIETA, CA 92563
Riverside County (951) 252-6083
MRS. CECILIA MARGARITA MATHEWS
Marriage & Family Therapist
29995 TECHNOLOGY DR STE 103
MURRIETA, CA 92563
Riverside County (951) 255-3409
THE REHAB GROUP
Physical Therapist
29995 TECHNOLOGY DR STE 103
MURRIETA, CA 92563
Riverside County (951) 304-1100
THE FAMILY THERAPY CENTER CORP
Marriage & Family Therapist
29995 TECHNOLOGY DR STE 103
MURRIETA, CA 92563
Riverside County (951) 384-1661
COMPREHENSIVE FORENSIC EVALUATION SERVICES, A PSYCHOLOGY CORPORATION
Psychologist (Forensic)
29995 TECHNOLOGY DR STE 103
MURRIETA, CA 92563
Riverside County (323) 302-1564
KATELINE MEDINA LICENSED
Marriage & Family Therapist
29995 TECHNOLOGY DR STE 103
MURRIETA, CA 92563
Riverside County (951) 384-1661

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 Elisabeth Inomaa-bustillos's NPI number?

The NPI number for Elisabeth Inomaa-bustillos is 1639487374. It was assigned to this individual provider in the NPPES registry on September 15, 2010.

Where is Elisabeth Inomaa-bustillos located?

Elisabeth Inomaa-bustillos practices at 29995 Technology Dr Ste 103, Murrieta, CA 92563. The listed phone number is (323) 302-1564.

What is Elisabeth Inomaa-bustillos's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Elisabeth Inomaa-bustillos enrolled in Medicare?

Yes. Elisabeth Inomaa-bustillos 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 Elisabeth Inomaa-bustillos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elisabeth Inomaa-bustillos reassigns Medicare benefits to Comprehensive Forensic Evaluation Services, A Psychology Corporation (Murrieta, 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 Elisabeth Inomaa-bustillos'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 Elisabeth Inomaa-bustillos was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.