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EDWARD ANDREWMALCOM BUSTAMANTE
NPI 1720751068
Counselor - Addiction (Substance Use Disorder) in San Bernardino, CA

Active since July 30, 2021
1100 N D ST, SAN BERNARDINO, CA 92410(909) 884-0840 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 4, 2024, Aug 3, 2021, Jul 30, 2021 (3 updates tracked since 2021).

About Edward Andrewmalcom Bustamante NPPES

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

EDWARD ANDREWMALCOM BUSTAMANTE (NPI 1720751068) is an individual addiction (substance use disorder) provider in San Bernardino, California and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1720751068
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameEDWARD ANDREWMALCOM BUSTAMANTE
Location Address1100 N D STSan Bernardino, CA 92410-3524
Mailing Address1100 N D StSan Bernardino, CA 92410-3524 · (909) 884-0840
Phone(909) 884-0840
Sole ProprietorNo
Enumeration DateJuly 30, 2021
Last NPPES UpdateJanuary 4, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2024
✔ NPI 1720751068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1100 N D ST, San Bernardino, CA 92410
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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.

CHRISTOPHER DODD
Counselor (Addiction (Substance Use Disorder))
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 884-0840
JESSICA BAUTISTA DE MORA
Case Manager/Care Coordinator
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 884-0840
VETERANS ALCOHOL REHABILITATION PROGRAM
Substance Abuse Rehabilitation Facility
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 381-3774
KEITH STEPHENS
Counselor (Addiction (Substance Use Disorder))
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 884-0840
RICHARD VELIS
Counselor (Addiction (Substance Use Disorder))
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 381-3774
ADAM LAWRENCE BASTUBA
Counselor (Addiction (Substance Use Disorder))
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 381-3774
FREDDY SANCHEZ NAVAR CATC NO. 228278 I
Counselor (Addiction (Substance Use Disorder))
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 884-0840
MS. JENNIFER MARIE MENDOZA
Counselor (Addiction (Substance Use Disorder))
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 884-0840

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 Edward Bustamante's NPI number?

The NPI number for Edward Bustamante is 1720751068. It was assigned to this individual provider in the NPPES registry on July 30, 2021.

Where is Edward Bustamante located?

Edward Bustamante practices at 1100 N D St, San Bernardino, CA 92410. The listed phone number is (909) 884-0840.

What is Edward Bustamante's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Edward Bustamante was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.