| Violkys Bustamante, PA-C | |
|
1217 W Whittier Blvd, Montebello, CA 90640-4642 | |
| (323) 728-6070 | |
| (323) 728-2912 |
| Full Name | Violkys Bustamante |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 30 Years |
| Location | 1217 W Whittier Blvd, Montebello, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386755759 | NPI | - | NPPES |
| 00PA140770 | Medicaid | CA | |
| GR00894061,62,64 | Medicaid | CA | |
| PA14077 | Other | CA | PA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | PA14077 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health White Memorial | Los angeles, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Modern Concepts Medical Group Inc | 6901793041 | 7 |
| Entity Name | Modern Concepts Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790738243 PECOS PAC ID: 6901793041 Enrollment ID: O20040302001418 |
| Mailing Address | Practice Location Address |
|---|---|
| Violkys Bustamante, PA-C 1217 W Whittier Blvd, Montebello, CA 90640-4642 Ph: (323) 728-6070 | Violkys Bustamante, PA-C 1217 W Whittier Blvd, Montebello, CA 90640-4642 Ph: (323) 728-6070 |
Dr. Hector Flores, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 815 Washington Blvd, Montebello, CA 90640 Phone: 323-728-3955 Fax: 323-728-6905 |
Dr. Edwin Tan Yu, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2101 W Beverly Blvd, Suite 202, Montebello, CA 90640 Phone: 323-888-2058 Fax: 323-722-9238 |
Monique Alexandria Gonzalez-johnson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3106 W Beverly Blvd, Montebello, CA 90640 Phone: 323-728-1274 Fax: 323-720-9954 |
Dr. Jorge Martinez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 815 Washington Blvd, Montebello, CA 90640 Phone: 323-728-3955 Fax: 323-728-6905 |
Dr. Leslie Ann Klein, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 W Beverly Bl, Suite 300, Montebello, CA 90640 Phone: 323-728-1201 Fax: 323-728-3735 |
Kevin Jerard Jorgensen, PA-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1217 W Whittier Blvd, Montebello, CA 90640 Phone: 323-728-6070 Fax: 323-728-2912 |
Mrs. Kalyani P Randeria, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 101 E Beverly Blvd Ste 405, Montebello, CA 90640 Phone: 323-724-9767 Fax: 323-724-2722 |