Individual provider Active NPI

Thomas Robert Bushell

  • Critical Care Pharmacist
  • Yucaipa, CA
National Provider Identifier
1013868835
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care PharmacistTaxonomy code 1835C0205X
License
68330 Issued in CA
Practice address
34475 Kadota St
Yucaipa, CA 92399-2926
Phone
(240) 398-8310
NPI assigned
Feb 6, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
68330CAMDCritical Care Pharmacist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Pharmacist 1835C0205X 68330 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

34475 Kadota St
Yucaipa, CA 92399-2926

Mailing address

34475 Kadota St
Yucaipa, CA 92399-2926
Phone (240) 398-8310

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 6, 2026.

{
    "created_epoch": "1770336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1013868835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34475 KADOTA ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992926",
            "telephone_number": "240-398-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34475 KADOTA ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992926",
            "telephone_number": "240-398-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHELL",
        "first_name": "THOMAS",
        "middle_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-06",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835C0205X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Critical Care",
            "state": "CA",
            "license": "68330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucaipa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.