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MR. MATTHEW BENJAMIN BUSTILLOS P.T. NPI 1578605010


NPI Information

NPI: 1578605010
Provider Name: MR. MATTHEW BENJAMIN BUSTILLOS, P.T.
Classification: Physical Therapist - 2251X0800X
Entity Type: Individual

Specialization: Orthopedic

Address:
24731 ALICIA PKWY
UNIT B
LAGUNA HILLS, CA
ZIP 92653
Phone: (949) 588-7278
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MR. Matthew Benjamin Bustillos, P.T. is an orthopedic physical therapist in Laguna Hills, CA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. MR. Matthew Benjamin Bustillos, P.T. NPI is 1578605010. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

24731 ALICIA PKWY
UNIT B
LAGUNA HILLS, CA
ZIP 92653-653
Phone: (949) 588-7278
Fax: (949) 588-7331

The enumeration date for this NPI number is 2/13/2007 and was last updated on 6/24/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251X0800XPhysical TherapistOrthopedicPT15153CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CB211808MEDICARE PINCALIFORNIA
2W17215BMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.