Active NPI
Nancy Jo Bush, NP
- Nurse Practitioner
- Santa Monica, CA
National Provider Identifier
1760607212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11178
- Practice address
- 2020 Santa Monica Blvd
Suite 600
Santa Monica, CA 90404-2023 - Phone
- (310) 633-8400
- Fax
- (310) 633-8419
- NPI assigned
- Apr 17, 2007
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11178 | CA | Primary |
| Clinical Nurse Specialist | 364S00000X | 573 | CA | |
| Oncology Registered Nurse | 163WX0200X | 280234 | CA |
Addresses
Primary practice location
2020 Santa Monica Blvd
Suite 600
Santa Monica, CA 90404-2023
Mailing address
5 Bridle LN
Bell Canyon, CA 91307-1117
Phone (310) 633-8400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 280234 | Other | CA | RN LICENSE |
| 11178 | Other | CA | NURSE PRACTIONER |
| 573 | Other | CA | CERTIFIED NURSE SPECIALIS |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 573 | CA | MD | Dental Hygienist |
| 280234 | CA | MD | Oncology Registered Nurse |
| 11178 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1760607212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 BRIDLE LN",
"city": "BELL CANYON",
"state": "CA",
"postal_code": "913071117",
"telephone_number": "310-633-8400",
"fax_number": "310-633-8419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 SANTA MONICA BLVD",
"address_2": "SUITE 600",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042023",
"telephone_number": "310-633-8400",
"fax_number": "310-633-8419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSH",
"first_name": "NANCY",
"middle_name": "JO",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "11178",
"primary": true
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "CA",
"license": "573",
"primary": false
},
{
"code": "163WX0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Oncology",
"state": "CA",
"license": "280234",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "280234",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTIONER",
"identifier": "11178",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED NURSE SPECIALIS",
"identifier": "573",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.