1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Dentist
  6. NPI Profile

DR. MANUEL ANTHONY BUSTAMANTE DDS
NPI 1912211426
Dentist - Endodontics in Los Angeles, CA

Active since July 27, 2010PECOS Enrolled
11645 WILSHIRE BLVD, SUITE 1160, LOS ANGELES, CA 90025(310) 473-5559 Get Directions Write a Review

NPPES record last updated: July 27, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Manuel Anthony Bustamante Dds NPPES

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

DR. MANUEL ANTHONY BUSTAMANTE DDS (NPI 1912211426) is an individual endodontics provider in Los Angeles, California, licensed in California (29218) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912211426
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. MANUEL ANTHONY BUSTAMANTECredential: DDS
Location Address11645 WILSHIRE BLVD, SUITE 1160Los Angeles, CA 90025-6811
Mailing Address11645 Wilshire Blvd, Suite 1160Los Angeles, CA 90025-6811 · (310) 473-5559
Phone(310) 473-5559
Sole ProprietorNo
Enumeration DateJuly 27, 2010
✔ NPI 1912211426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in CA · 29218
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
11645 WILSHIRE BLVD, Los Angeles, CA 90025
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 (PECOS)

Dr. Manuel Anthony Bustamante Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 90025 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 20

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

DAVID P SCHLANG DDS
Dentist
11645 WILSHIRE BLVD, SUITE 703
LOS ANGELES, CA 90025
Los Angeles County (310) 477-2488
JANNA MARIE CLINE-CHANES M.S.
Specialist
11645 WILSHIRE BLVD, SUITE # 600
LOS ANGELES, CA 90025
Los Angeles County (310) 477-5558
MED-X DRUG & ALCOHOL TESTING SERVICES
Legal Medicine
11645 WILSHIRE BLVD, SUITE 825
LOS ANGELES, CA 90025
Los Angeles County (310) 207-3320
DR. ERIC JOEL MEINHARDT M.D.
Dermatology
11645 WILSHIRE BLVD, SUITE 1080
LOS ANGELES, CA 90025
Los Angeles County (310) 275-1170
ERIE V BOORMAN MD INC
Internal Medicine
11645 WILSHIRE BLVD, SUITE 901
LOS ANGELES, CA 90025
Los Angeles County (310) 481-0481
DR. CARRIE MARIE WHITE PH.D.
Psychologist (Clinical)
11645 WILSHIRE BLVD, SUITE #1100
LOS ANGELES, CA 90025
Los Angeles County (310) 477-6000
SCOTT RITCHEY SALE MD
Specialist
11645 WILSHIRE BLVD, SUITE 1090
LOS ANGELES, CA 90025
Los Angeles County (310) 478-1188
WALTER PHILIP GREENBERG PH.D.
Psychologist
11645 WILSHIRE BLVD, SUITE 1065
LOS ANGELES, CA 90025
Los Angeles County (310) 824-2087

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 Manuel Bustamante's NPI number?

The NPI number for Manuel Bustamante is 1912211426. It was assigned to this individual provider in the NPPES registry on July 27, 2010.

Where is Manuel Bustamante located?

Manuel Bustamante practices at 11645 Wilshire Blvd Suite 1160, Los Angeles, CA 90025. The listed phone number is (310) 473-5559.

What is Manuel Bustamante's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Manuel Bustamante enrolled in Medicare?

Yes. Manuel Bustamante is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Manuel Bustamante was last updated on July 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.