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

Leticia Bustamante

Individual provider Nurse Practitioner · NPI 1609058924

Leticia Bustamante is a Nurse Practitioner in Brawley, California. Qualified in 2007, 19 years ago. Practices with Family Health Centers of San Diego Inc, a 297-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
19
Licensed in
CA
In the registry since
2007

Practice location Address checks out

751 W Legion Rd Ste 102
Brawley, CA 92227
Phone: (760) 351-8696
Fax: (760) 545-0253
Show map & directions

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

Additional practice locations (2)

  • 2391 Island Ave, San Diego, CA 92102 — (619) 515-2435
  • 1809 National Ave, San Diego, CA 92113 — (619) 515-2300

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence FNP17877 (CA)

Record details

NPI number1609058924
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 28, 2007
Last updated in NPPESAugust 17, 2023
Certification dateAugust 17, 2023
Mailing address823 Gateway Center Way, San Diego, CA 92102-4541

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Family Health Centers Of San Diego Inc — 297 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Brawley