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

Nicholas Bustamante

Individual provider Physical Therapy Assistant · NPI 1366370082

Nicholas Bustamante is a Physical Therapy Assistant in Fresno, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

1360 E Spruce Ave Ste 102
Fresno, CA 93720-3378
Phone: (559) 440-9200
Fax: (559) 440-9222
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 54759 (CA)

Record details

NPI number1366370082
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 12, 2026
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026
Mailing address1360 E Spruce Ave Ste 102, Fresno, CA 93720-3378

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