BUSTOS ASSOCIATES LLC; NPI #1922335561

Contact Information

BUSTOS ASSOCIATES LLC

1140 VARNUM ST NE STE 202
WASHINGTON, DC 20017-2153

Phone: 202-269-6430
Fax: 202-269-6598
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Nephrology	207RN0300X	11	Physician/Internal Medicine
Exclusive Provider Organization	302F00000X
Health Maintenance Organization	302R00000X
Point of Service	305S00000X
Preferred Provider Organization	305R00000X
Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for BUSTOS ASSOCIATES LLC

NPI Number 1922335561

LBN Legal business name BUSTOS ASSOCIATES LLC

Authorized official MICHELLE YRASTORZA - (REVENUE CYCLE SPECIALIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/03/2009

Last updated 10/03/2025 - About 8 months ago

Identifiers

DC	Medicaid	055092400
MD	Medicaid	540055400
DC	Other	MD19909	LICENSE
MD	Other	D0042936	LICENSE
MD	Other	Z26477356	SDAT
VA	Other	0101048655	LICENSE
VA	Other	2025092322349376	SCC

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BUSTOS ASSOCIATES LLC

Contact Information

Specialty

Nephrology

Exclusive Provider Organization

Health Maintenance Organization

Point of Service

Preferred Provider Organization

Primary Care

NPI Profile & details for BUSTOS ASSOCIATES LLC

Reviews for BUSTOS ASSOCIATES LLC