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MYRA BUSTAMANTE
NPI 1730474529
Licensed Vocational Nurse in Lodi, CA

Active since June 09, 2011
12755 N HIGHWAY 88, LODI, CA 95240(209) 340-5800(209) 340-5804 Get Directions Write a Review

NPPES record last updated: April 20, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Myra Bustamante NPPES

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

MYRA BUSTAMANTE (NPI 1730474529) is an individual licensed vocational nurse in Lodi, California, licensed in California (VN682197) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1730474529
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameMYRA BUSTAMANTE
Location Address12755 N HIGHWAY 88Lodi, CA 95240-9323
Mailing Address12755 N Highway 88Lodi, CA 95240-9323 · (209) 340-5800 · Fax (209) 340-5804
Phone(209) 340-5800
Fax(209) 340-5804
Sole ProprietorNo
Enumeration DateJune 9, 2011
Last NPPES UpdateApril 20, 2016
✔ NPI 1730474529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · VN682197
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
Also ListedLicensed Practical NurseTaxonomy 164W00000X · License LP034207 (AZ)
12755 N HIGHWAY 88, Lodi, CA 95240
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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.

MR. JOHN BRIAN FORD MFTI
Marriage & Family Therapist
12755 N HIGHWAY 88
LODI, CA 95240
San Joaquin County (209) 340-5828
JANE KNOX
Counselor (Mental Health)
12755 N HIGHWAY 88
LODI, CA 95240
San Joaquin County (209) 340-5800
EVELYN GONZALEZ
Counselor
12755 N HIGHWAY 88
LODI, CA 95240
San Joaquin County (209) 340-5800
CURTIS PERKINS
Counselor (Mental Health)
12755 N HIGHWAY 88
LODI, CA 95240
San Joaquin County (209) 340-7900
LISA MONK
Student in an Organized Health Care Education/Training Program
12755 N HIGHWAY 88
LODI, CA 95240
San Joaquin County (209) 340-5800
NANCY MARDIS LCSW
Social Worker (Clinical)
12755 N HIGHWAY 88
LODI, CA 95240
San Joaquin County (209) 340-7900
BETTY ANN STANHOPE
Community Health Worker
12755 N HIGHWAY 88
LODI, CA 95240
San Joaquin County (209) 340-5835
LINDA L RECUPARO M.A.
Marriage & Family Therapist
12755 N HIGHWAY 88
LODI, CA 95240
San Joaquin County (209) 340-5800

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 Myra Bustamante's NPI number?

The NPI number for Myra Bustamante is 1730474529. It was assigned to this individual provider in the NPPES registry on June 9, 2011.

Where is Myra Bustamante located?

Myra Bustamante practices at 12755 N Highway 88, Lodi, CA 95240. The listed phone number is (209) 340-5800.

What is Myra Bustamante's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Myra Bustamante was last updated on April 20, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.