Active NPI
Diana Bush, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95021382
- Practice address
- 1100 W Town and Country Rd Ste 1232
Orange, CA 92868-4600 - Phone
- (714) 817-7447
- NPI assigned
- Aug 14, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 828188 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95021382 | CA | Primary |
Addresses
Primary practice location
1100 W Town and Country Rd Ste 1232
Orange, CA 92868-4600
Mailing address
1100 W Town and Country Rd Ste 1250
Orange, CA 92868-4633
Phone (714) 817-7447
Other practice location 1
473 E Carnegie Dr #200
San Bernardino, CA 92408
Phone (714) 817-7447
Other practice location 2
555 W 5th St Fl 35
Los Angeles, CA 90013-1010
Phone (714) 410-6588
Other practice location 3
650 California St Fl 7
San Francisco, CA 94108-2737
Phone (714) 410-6588
Other practice location 4
9920 Pacific Heights Blvd Ste 150
San Diego, CA 92121-4361
Phone (714) 410-6588
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 828188 | CA | MD | Registered Nurse |
| 95021382 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PC | Psychiatric/Mental Health | Current | Accepting new patients |
| Peter Pham Nursing Corporation | Psychiatric/Mental Health | Current | Accepting new patients |
| Southa-Bush Nursing Corp | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
1100 W Town and Country Rd
Ste 1239
Orange, CA 92868
Phone (714) 451-4880
1100 W Town and Country Rd
Ste 1232
Orange, CA 92868
Phone (714) 817-7447
1100 W Town and Country Rd
Ste 1250
Orange, CA 92868
Phone (657) 339-2799
9920 Pacific Heights Blvd
Ste 150
San Diego, CA 92121
Phone (855) 559-7433
99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Orange, CA
- NPI 1386501401
-
- Mental Health Counselor
- San Jose, CA
- NPI 1154994846
Psychiatric/Mental Health
-
- Psychiatric/Mental Health Nurse Practitioner
- Orange, CA
- NPI 1750082780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766448000000",
"number": "1104472174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 W TOWN AND COUNTRY RD STE 1250",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684633",
"telephone_number": "714-817-7447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 W TOWN AND COUNTRY RD STE 1232",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684600",
"telephone_number": "714-817-7447"
}
],
"practiceLocations": [
{
"address_1": "473 E Carnegie Dr #200",
"address_purpose": "LOCATION",
"city": "San Bernardino",
"state": "CA",
"postal_code": "92408",
"country_code": "US",
"telephone_number": "714-817-7447",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "555 W 5th St Fl 35",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900131010",
"country_code": "US",
"telephone_number": "714-410-6588",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "650 California St Fl 7",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941082737",
"country_code": "US",
"telephone_number": "714-410-6588",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9920 Pacific Heights Blvd Ste 150",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921214361",
"country_code": "US",
"telephone_number": "714-410-6588",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUSH",
"first_name": "DIANA",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-14",
"last_updated": "2025-12-23",
"certification_date": "2025-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "828188",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95021382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.