Ronald B Bush MD a Professional Corp

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

RONALD B BUSH MD A PROFESSIONAL CORP

Practice address

45280 Club Dr
Indian Wells, CA 92210-8860

Phone

(760) 200-2992

NPI assigned

Jun 29, 2010

Organization subpart

Yes

Parent organization

RONALD B BUSH MD A PROFESSIONAL CORPAs reported in NPPES

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

Authorized official

Name

Ronald Bush, M.D.

Title

President

Phone

(760) 200-2992

Specialties & licenses 1

Addresses

Part of

Ronald B Bush MD a Professional Corp

Locations

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1457662017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45280 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": "YES",
        "parent_organization_legal_business_name": "RONALD B BUSH MD A PROFESSIONAL CORP",
        "enumeration_date": "2010-06-29",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-200-2992",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-Pharmacy Dispensing Site in Indian Wells, CA
• Providers in Indian Wells, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.