Individual provider · Type 1 NPI

Tabitha Bustamante

Point of Service · El Sobrante, CA

NPI number 1336096551 Active

Practice location

3645 San Pablo Dam Rd
El Sobrante, CA 94803-2729

Call (510) 469-1981 Map

Mailing address

635 9th St
Richmond, CA 94801-2717

Specialties and licenses

TaxonomyCodeLicense
Point of Service Primary 305S00000XNone listed

Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

8 other providers at this address

About NPI 1336096551

Tabitha Bustamante's National Provider Identifier is 1336096551, issued on Mar 16, 2026. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in El Sobrante, CA. The record was last updated on Mar 16, 2026.