Bupe C Mushili, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95025342 Issued in CA

Practice address

415 W Route 66 Ste 202
Glendora, CA 91740-4335

Phone

(626) 963-4467

Fax

(626) 963-9543

NPI assigned

May 29, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Dr Jacob & Associates Inc

  • Psychiatry Physician
  • Glendora, CA
  • NPI 1932997467
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1124711965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 INLAND EMPIRE BLVD STE 101",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645577",
            "telephone_number": "909-870-0160",
            "fax_number": "909-870-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W ROUTE 66 STE 202",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404335",
            "telephone_number": "626-963-4467",
            "fax_number": "626-963-9543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2705 S Diamond Bar Blvd Ste 238",
            "address_purpose": "LOCATION",
            "city": "Diamond Bar",
            "state": "CA",
            "postal_code": "917653554",
            "country_code": "US",
            "telephone_number": "909-860-2166",
            "fax_number": "626-963-9543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSHILI",
        "first_name": "BUPE",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-29",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95025342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Steven Munizich, FNP-BC
• Daryl Lorell Munson, D.D.S.
• Xanti Muralles, PSY.D.
• Chase Jeffrey Murphy, DDS
• Jeffrey C Murphy, DDS
• Allison Muth
• Monica Munoz Nadal, ANP-C
• Anna Nahapetyan
• Naji Bouz MD Inc & N Kassar MD Inc PTRS
• Naji Kandalaft MD Inc.

• Psychiatric/Mental Health Nurse Practitioner in Glendora, CA
• Providers in Glendora, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.

Verify at the official NPI Registry.