Sofia Carmen Bustillo
NPI 1275144313ActiveIndividual· Physician Assistant, Medical· Seal Beach, CA
Physician Assistant, Medical with Providence Saint Johns Medical Foundation, practicing in Seal Beach, California. 446 Medicare patients in 2024, $50,080 paid; nearly all of their 235 Part D prescriptions were generic (92%). Boston Scientific Corporation reported $37.53 in payments in 2024, mostly food and beverage. Lists Saint John's Health Center as a hospital affiliation.
Overview
| NPI | 1275144313 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Aug 12, 2020 |
| Last updated in NPPES | Jul 9, 2026 |
| Certified by provider | Jul 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 58679 | CA |
| Physician Assistant, Medical | 363AM0700X | — | — |
| Physician Assistant | 363A00000X | PA58679 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 446 |
|---|---|
| Services billed | 568 across 45 procedure codes |
| Paid by Medicare | $50,080 |
Part D prescriptions in 2024
| Prescriptions (claims) | 235 · 240 30-day fills |
|---|---|
| Patients | 185 |
| Total drug cost | $5,484 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Providence Saint Johns Medical FoundationSanta Monica, CA · 281 clinicians
Hospital affiliation
- Saint John's Health CenterSanta Monica, CA
Industry payments (Open Payments)
- 2024$37.53 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $37.53 | 1 |
What the 2024 payments were for
- Food and Beverage$37.53 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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