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

Jesus Bustamante, PA

Individual provider Registered Nurse · NPI 1225466063

Jesus Bustamante, PA is a Physician Assistant in Wasco, California. Qualified in 2013, 13 years ago. Practices with Omni Family Health, a 93-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2013
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

2101 7th St
Wasco, CA 93280-1502
Phone: (661) 758-2263
Fax: (661) 758-8132
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1100 4th St, Taft, CA 93268 — (800) 300-6664

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA23307 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 635265 (CA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1225466063
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedOctober 14, 2013
Last updated in NPPESJuly 20, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Omni Family Health — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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