Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bustillo Medical Corp, Inc

Organization Specialist · NPI 1316169105

Bustillo Medical Corp, Inc provides Specialist services in Fountain Valley, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9900 Talbert Ave Ste 202
Fountain Valley, CA 92708-5153 Not confirmed with CMS for 17 years — call before visiting
Phone: (714) 378-5552
Fax: (714) 378-5541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence G51357 (CA)

Record details

NPI number1316169105
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gerardo Bustillo — President · (714) 378-5552
NPI enumeratedMay 3, 2007
Last updated in NPPESMay 8, 2009
Mailing address9900 Talbert Ave, Suite 202, Fountain Valley, CA 92708-5153

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