ISSAC MANUEL BUSTAMANTE
NPI 1912558123
Counselor - Mental Health in El Cajon, CA

Active since September 28, 2019
1664 BROADWAY, EL CAJON, CA 92021(619) 579-8685 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2023, Aug 1, 2022, Sep 28, 2019 (3 updates tracked since 2019).

About Issac Manuel Bustamante NPPES

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

ISSAC MANUEL BUSTAMANTE (NPI 1912558123) is an individual mental health provider in El Cajon, California and active in the NPI registry since September 2019. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912558123
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameISSAC MANUEL BUSTAMANTE
Location Address1664 BROADWAYEl Cajon, CA 92021-5201
Mailing Address380 Encinal St Ste 200Santa Cruz, CA 95060-2178 · (831) 469-1700 · Fax (831) 425-1905
Sole ProprietorNo
Enumeration DateSeptember 28, 2019
Last NPPES UpdateJuly 11, 20233 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
NPI 1912558123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
1664 BROADWAY, El Cajon, CA 92021

Secondary Practice Locations 2

Location 1380 Encinal St Ste 200Santa Cruz, CA 95060-2178 · Phone (831) 469-1700 · Fax (831) 425-1905
Location 25005 Texas St Ste 203San Diego, CA 92108-3723 · Phone (619) 692-0727

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.

Counselor (Mental Health)
1664 BROADWAY
EL CAJON, CA 92021
Counselor (Mental Health)
1664 BROADWAY
EL CAJON, CA 92021
Rehabilitation Practitioner
1664 BROADWAY
EL CAJON, CA 92021
Rehabilitation Practitioner
1664 BROADWAY
EL CAJON, CA 92021
Student in an Organized Health Care Education/Training Program
1664 BROADWAY
EL CAJON, CA 92021
Recreation Therapist
1664 BROADWAY
EL CAJON, CA 92021
Student in an Organized Health Care Education/Training Program
1664 BROADWAY
EL CAJON, CA 92021
Student in an Organized Health Care Education/Training Program
1664 BROADWAY
EL CAJON, CA 92021

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 Issac Bustamante's NPI number?

The NPI number for Issac Bustamante is 1912558123. It was assigned to this individual provider in the NPPES registry on September 28, 2019.

Where is Issac Bustamante located?

Issac Bustamante practices at 1664 Broadway, El Cajon, CA 92021. The listed phone number is (619) 579-8685.

What is Issac Bustamante's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Issac Bustamante was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.