MEDICARE: MIGUEL BUSTAMANTE CPO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	222Z00000X	Orthotist
2	224P00000X	Prosthetist

General Provider Information

NPI Number	:	1861680605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIGUEL BUSTAMANTE CPO

Provider Business Mailing Address
First Line	:	298 SAN ANTONIO RD
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-1212
Country	:	US
Telephone Number	:	650-559-1711
Fax Number	:

Provider Business Practice Location Address
First Line	:	298 SAN ANTONIO RD
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-1212
Country	:	US
Telephone Number	:	650-559-1711
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2007
Last Update Date	:	10/05/2007

Similar Medicare Providers

1316135155 — STEVE E BAUM CO
Practice Location Address:

298 SAN ANTONIO RD
MOUNTAIN VIEW, CA
94040-1212

Practice Phone: 650-559-1711
Practice Fax:

1851597421 — R.K.HUGHES INC.
Practice Location Address:

1212 MARYS GROVE CHURCH RD
KINGS MOUNTAIN, NC
28086-9466

Practice Phone: 704-445-6253
Practice Fax:

1316374515 — TERRY KING PT
Practice Location Address:

1212 OLD MOUNTAIN ROAD
JOPPA, MD
21085

Practice Phone: 410-868-7387
Practice Fax:

1598489635 — JENEVA JILL WILSON LPN
Practice Location Address:

1212 MARYS GROVE CHURCH RD
KINGS MOUNTAIN, NC
28086-9466

Practice Phone: 980-341-9535
Practice Fax:

1336019595 — ASHLEY HAYDEN
Practice Location Address:

13 MOUNTAIN ST
WOBURN, MA
01801-1212

Practice Phone: 781-460-8549
Practice Fax:

1831216696 — DR. WILLIAM A. FONG D.D.S.
Practice Location Address:

3532 OCEAN VIEW BLVD
GLENDALE, CA
91208-1212

Practice Phone: 818-957-7711
Practice Fax: 818-952-0243

Directions to “ MIGUEL BUSTAMANTE CPO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.