Ellyn C Bush, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

G65053 Issued in CA

Practice address

695 Oak Grove Ave
Ste 310
Menlo Park, CA 94025-4351

Phone

(650) 324-0700

Fax

(650) 324-0709

NPI assigned

Mar 28, 2006

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Atherton Neurology Medical Office, Inc

  • Neurology Physician
  • Menlo Park, CA
  • NPI 1407816515
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1366403776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 OAK GROVE AVE",
            "address_2": "STE 310",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254351",
            "telephone_number": "650-324-0700",
            "fax_number": "650-324-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 OAK GROVE AVE",
            "address_2": "STE 310",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254351",
            "telephone_number": "650-324-0700",
            "fax_number": "650-324-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "ELLYN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G65053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Burke, M.D.
• John H. Burkholder, D.M.D.
• Claire Jean Burks, OTRL
• Winifred Mary Marjorie Burns, PT
• Constance Dowd Burton, PSYD, JD
• C-Dental X-Ray, Inc.
• Neftali Cabezudo, MSN, MA, RN-BC, CNL
• Katja Cahoon, LCSW
• Calcare Inc
• Calcare Inc.

• Neurology Physician in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; 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.