Ronald B Bush MD a Professional Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

A553069 Issued in CA

Legal business name

RONALD B BUSH MD A PROFESSIONAL CORPORATION

Practice address

45280 Club Dr
Indian Wells, CA 92210-8860

Phone

(760) 200-2992

Fax

(760) 200-2993

NPI assigned

Mar 20, 2008

Organization subpart

No

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

Owner

Phone

(760) 200-2992

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Ronald B Bush MD a Professional Corp

  • Internal Medicine Physician
  • Indian Wells, CA
  • NPI 1346495074
  NPD tax ID

Locations

Practitioners 1

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

• Ronald B Bush, MD

  • Internal Medicine Physician
  • Indian Wells, CA
  • NPI 1851366843
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1487825162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13430",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922553430",
            "telephone_number": "760-200-2992",
            "fax_number": "760-200-2993"
        },
        {
            "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",
            "fax_number": "760-200-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD B BUSH MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-200-2992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A553069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A5530691",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Right Hear Palm Springs
• Rachelle Eileen Roberts, LMFT
• Alyssa Rodriguez
• Ronald B Bush MD a Professional Corp
• Ronald B Bush MD a Professional Corp
• Roxanna Farinpour Inc
• Karla Yarely Salcedo
• Sarai Sanchez-Diaz
• Jeniffer Yamileth Segura
• Simon Philip Shah, RPH

• Specialist in Indian Wells, CA
• Providers in Indian Wells, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.