RUDOLPH BUSTAMANTE M.D. – NPI #1124088968
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

RUDOLPH BUSTAMANTE is a physician located in CASA GRANDE, AZ. NPPES has assigned the NPI number 1124088968 to RUDOLPH BUSTAMANTE on March 24, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 15 years ago on Oct 14, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RUDOLPH BUSTAMANTE below.

NPI Profile for
RUDOLPH BUSTAMANTE

NPI Number
1124088968
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RUDOLPH BUSTAMANTE
Credentials
M.D.
Primary location
1856 E FLORENCE BLVD
CASA GRANDE, AZ 85122-5303
Phone: (520) 381-0380 Fax: (520) 836-1826
Mailing address
PO BOX 10097
CASA GRANDE, AZ 85130-0020
Phone: (520) 836-3446 Fax: (520) 836-8807
Sole Proprietor
No
Updated
Identifiers

Identifiers for RUDOLPH BUSTAMANTE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERMEDICARE03-1881
OTHERMEDICARE03-31815
OTHERMEDICAREZ137312
OTHERMEDICAREZFQ31815
MEDICAIDAZ510984
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
AZ 6500

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.