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MARY VIC AMOR MENDIJA BUSTILLO NP
NPI 1851661276
Nurse Practitioner - Family in Los Gatos, CA

Active since January 02, 2012PECOS EnrolledAccepts Medicare Assignment
15899 LOS GATOS ALMADEN RD, SUITE 3, LOS GATOS, CA 95032(408) 358-8998(408) 358-8818 Get Directions Write a Review

NPPES record last updated: September 6, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Vic Amor Mendija Bustillo Np NPPES

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

MARY VIC AMOR MENDIJA BUSTILLO NP (NPI 1851661276) is an individual family provider in Los Gatos, California, licensed in California (20532) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1851661276
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY VIC AMOR MENDIJA BUSTILLOCredential: NP
Location Address15899 LOS GATOS ALMADEN RD, SUITE 3Los Gatos, CA 95032-3739
Mailing Address15899 Los Gatos Almaden Rd, Suite 3Los Gatos, CA 95032-3739 · (408) 358-8998 · Fax (408) 358-8818
Phone(408) 358-8998
Fax(408) 358-8818
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJanuary 2, 2012
Last NPPES UpdateSeptember 6, 2013
✔ NPI 1851661276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 20532
15899 LOS GATOS ALMADEN RD, Los Gatos, CA 95032
Open in Google Maps ↗

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

Mary Vic Amor Mendija Bustillo Np 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 ID9133551914
PECOS Enrollment IDI20191115002457
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 95032 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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 14

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

DR. MARY BETH HUGHES MD
Pediatrics
15899 LOS GATOS ALMADEN RD, SUITE 4
LOS GATOS, CA 95032
Santa Clara County (408) 356-7770
MS. KHIM CHOONG L. AC.
Acupuncturist
15899 LOS GATOS ALMADEN RD, #10
LOS GATOS, CA 95032
Santa Clara County (408) 356-6601
BEYOND PROSTHETICS, INC.
Prosthetic/Orthotic Supplier
15899 LOS GATOS ALMADEN RD, SUITE 7
LOS GATOS, CA 95032
Santa Clara County (408) 356-6300
TAUGHINBAUGH PODIATRY CORPORATION
Podiatrist (Foot & Ankle Surgery)
15899 LOS GATOS ALMADEN RD, SUITE 11
LOS GATOS, CA 95032
Santa Clara County (408) 356-2196
PATRICIA ANN FERRARI MD, PHD
Pediatrics
15899 LOS GATOS ALMADEN RD, SUITE 4
LOS GATOS, CA 95032
Santa Clara County (408) 356-7770
SOUTH BASCOM PEDIATRICS INC
Pediatrics
15899 LOS GATOS ALMADEN RD, SUITE 4
LOS GATOS, CA 95032
Santa Clara County (408) 356-7770
MS. NICOLE CAVALEA MS, CCC-SLP, OMT
Speech-Language Pathologist
15899 LOS GATOS ALMADEN RD, SUITE 10
LOS GATOS, CA 95032
Santa Clara County (408) 442-2302
AMI J PATEL PA-C
Physician Assistant
15899 LOS GATOS ALMADEN RD, #4
LOS GATOS, CA 95032
Santa Clara County (408) 358-8801

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 Mary Vic Amor Bustillo's NPI number?

The NPI number for Mary Vic Amor Bustillo is 1851661276. It was assigned to this individual provider in the NPPES registry on January 2, 2012.

Where is Mary Vic Amor Bustillo located?

Mary Vic Amor Bustillo practices at 15899 Los Gatos Almaden Rd Suite 3, Los Gatos, CA 95032. The listed phone number is (408) 358-8998.

What is Mary Vic Amor Bustillo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Vic Amor Bustillo enrolled in Medicare?

Yes. Mary Vic Amor Bustillo 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.

When was this NPI record last updated?

The NPPES record for Mary Vic Amor Bustillo was last updated on September 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.