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Corey Busta

Physician β€’ Corning, CA

Deactivated NPI 1669122800 Deactivated in NPPES Male Practitioner
Practice location in NPPES

1360 Houghton Ave
Corning, CA 960212956

Phone: 5304446438

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of August 05, 2024; the reason is not published. The records below are historical. They do not show whether Corey Busta currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date March 28, 2022
NPI Deactivation Date August 05, 2024
NPI Active Period 2022 – 2024

Practice Location & Contact Primary Location

Practice Address

1360 Houghton Ave

Corning, CA 960212956

Telephone 5304446438
Organization at the Same NPPES Address or Phone
Busta Enterprises, Llc Facility NPI 1821737271

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Corning and California

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Non-emergency Medical Transport (VAN) Primary Specialty

NUCC Taxonomy Code: 343900000X

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated August 05, 2024

NPPES lists this NPI as deactivated as of August 05, 2024; the reason is not published.

βœ…
NPI Profile Active March 28, 2022

NPI status registered as active in NPPES database

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Practice Location (Initial Record) March 28, 2022

Registered at 1360 HOUGHTON AVE, CORNING, CA 960212956 (Tel: 5304446438)

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Business Mailing Address (Initial Record) March 28, 2022

Registered at 1360 HOUGHTON AVE, CORNING, CA 960212956 (Tel: 5304446438)

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Provider Name / Credentials (Initial Record) March 28, 2022

Recorded as COREY BUSTA

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2022

Non-emergency Medical Transport (VAN)

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Initial NPI Registration & Enumeration March 28, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1669122800
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2022
Last Update: March 28, 2022
Deactivation Date: August 05, 2024

Mailing Address

1360 Houghton Ave

Corning, CA 960212956

Phone: 5304446438

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.