Active NPI
Janis Bell Bush
- Health Educator
- La Habra, CA
National Provider Identifier
1467079947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 4151
- Practice address
- 2111 Lindauer Dr
La Habra, CA 90631-2564 - Phone
- (808) 499-7490
- NPI assigned
- Jun 30, 2020
- Last updated
- Jun 30, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | 4151 | DC | Primary |
Addresses
Primary practice location
2111 Lindauer Dr
La Habra, CA 90631-2564
Mailing address
2111 Lindauer Dr
La Habra, CA 90631-2564
Phone (808) 263-2229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4151 | DC | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593475200000",
"number": "1467079947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 LINDAUER DR",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906312564",
"telephone_number": "808-263-2229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 LINDAUER DR",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906312564",
"telephone_number": "808-499-7490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSH",
"first_name": "JANIS",
"middle_name": "BELL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-30",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "DC",
"license": "4151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Habra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.