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Gerardo Bustillo, M.D.

Obstetrics & Gynecology in Fountain Valley, CA. Individual provider (NPI-1).

NPI number1972631786
StatusActive
Last updated in NPPESOct 13, 2016

Details

NPI
1972631786
Entity type
Individual (NPI-1)
Name
Gerardo Bustillo
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Mar 1, 2007
Last updated
Oct 13, 2016

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - OBSTETRICS/GYNECOLOGY
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207V00000X Obstetrics & GynecologyG51357CAYes
174400000X SpecialistG51357CA

Practice location

18035 Brookhurst Street
Suite 2100
Fountain Valley, CA 92708

Phone 657-241-9090

Mailing address

17360 Brookhurst St
Attn: Credentialing Department
Fountain Valley, CA 92708-3720

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Obstetrics & Gynecology Physician providers in Fountain Valley, CA

All 41 Obstetrics & Gynecology Physician providers in Fountain Valley · All 3,097 providers in Fountain Valley

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