Organization Active NPI

William Stephen Bush, M.D., a Medical Corporation

  • Anatomic Pathology & Clinical Pathology Physician
  • Joshua Tree, CA
National Provider Identifier
1578557054
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
WILLIAM STEPHEN BUSH, M.D., A MEDICAL CORPORATION
Practice address
6601 White Feather Rd
Dept of Pathology
Joshua Tree, CA 92252-6607
Phone
(760) 366-6273
Fax
(760) 366-6461
NPI assigned
Sep 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Authorized official

Name
William S Bush, M.D.
Title
President
Phone
(760) 366-6273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

6601 White Feather Rd
Dept of Pathology
Joshua Tree, CA 92252-6607

Mailing address

6601 White Feather Rd
Dept of Pathology
Joshua Tree, CA 92252-6607
Phone (760) 366-6273

Other identifiers 1

IdentifierTypeStateIssuer
00G390650MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1578557054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 WHITE FEATHER RD",
            "address_2": "DEPT OF PATHOLOGY",
            "city": "JOSHUA TREE",
            "state": "CA",
            "postal_code": "922526607",
            "telephone_number": "760-366-6273",
            "fax_number": "760-366-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 WHITE FEATHER RD",
            "address_2": "DEPT OF PATHOLOGY",
            "city": "JOSHUA TREE",
            "state": "CA",
            "postal_code": "922526607",
            "telephone_number": "760-366-6273",
            "fax_number": "760-366-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM STEPHEN BUSH, M.D., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-366-6273",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G390650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joshua Tree, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.