Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952519738 Individual Practitioner Female Practitioner

Dr. Corazon Virata Bustos , DMD

Dentist - General Practice • Baldwin Park, CA

Professional Overview & Biography Verified Profile Summary

Dr. Corazon Bustos, DMD is a registered healthcare professional specializing in Dentist - General Practice in Baldwin Park, CA. Practice services are available at 4322 MAINE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4322 Maine Ave

Baldwin Park, CA 917063314

Telephone 6269623353
Fax 6269623353
Associated Practice Facility / Clinic
🏢 De La Osa Dental Group,inc. Facility NPI 1285130294

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Baldwin Park, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
20 Specialists

Practicing in Baldwin Park, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 29219

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4322 MAINE AVE, BALDWIN PARK, CA 917063314 (Tel: 6269623353)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4322 MAINE AVE, BALDWIN PARK, CA 917063314 (Tel: 6269623353)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CORAZON BUSTOS, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #29219 in CA)

🟢
Initial NPI Registration & Enumeration May 18, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952519738
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 18, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

4322 Maine Ave

Baldwin Park, CA 917063314

Phone: 6269623353

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.