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

Jimmy Bustos

Individual provider Speech-Language Pathologist · NPI 1396047841

Jimmy Bustos is a Speech-Language Pathologist in Orange, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2010

Practice location Address checks out

1301 W Providence Ave
Orange, CA 92868-3808
Phone: (714) 639-4990
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SP 9065 (CA)

Record details

NPI number1396047841
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 2, 2010
Last updated in NPPESDecember 2, 2010
Mailing address1301 W Providence Ave, Orange, CA 92868-3808

Other providers in Orange