Organization Active NPI

Ronald B Bush MD a Professional Corp

  • Internal Medicine Physician
  • Indian Wells, CA
National Provider Identifier
1346495074
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A53069 Issued in CA
Legal business name
RONALD B BUSH MD A PROFESSIONAL CORP
Practice address
45-280 Club Dr
Indian Wells, CA 92210-8860
Phone
(760) 200-2992
NPI assigned
Nov 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Authorized official

Name
Dr. Ronald B Bush, MDNPI 1851366843
Title
Pres
Phone
(760) 200-2992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A53069 CA Primary

Addresses

Primary practice location

45-280 Club Dr
Indian Wells, CA 92210-8860

Mailing address

45280 Club Dr
Indian Wells, CA 92210-8860
Phone (760) 200-2992

National Provider Directory

National Provider Directory
Tax ID family
Ronald B Bush MD a Professional Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1346495074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45280 CLUB DR",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "922108860",
            "telephone_number": "760-200-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-280 CLUB DR",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "922108860",
            "telephone_number": "760-200-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD B BUSH MD A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "760-200-2992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A53069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Wells, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.