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

Individual provider Skilled Nursing Facility · NPI 1730807355

Sunny James Bautista Bustos is a Skilled Nursing Facility in Moreno Valley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

13049 Misty Meadow Ct
Moreno Valley, CA 92555-4535
Phone: (951) 452-6691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Physical Therapist (primary) Taxonomy 2251G0304X · Licence 28941 (CA)
Skilled Nursing Facility Taxonomy 314000000X · Licence 28941 (CA)

Record details

NPI number1730807355
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 19, 2022
Last updated in NPPESAugust 19, 2022
Certification dateAugust 17, 2022

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