Blake Buss

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

23151 Issued in CA

Practice address

1807 Orchard St
Santa Rosa, CA 95404-2444

Phone

(707) 490-5442

NPI assigned

Jun 18, 2022

Last updated

Nov 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1655510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1780315051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 ORCHARD ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954042444",
            "telephone_number": "707-490-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 ORCHARD ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954042444",
            "telephone_number": "707-490-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSS",
        "first_name": "BLAKE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-18",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "23151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smrity Singh Burritt
• Calla J Burton
• Phalacia Lindell Burton, RN
• Bryan Emerson Bush
• Sunny Bush, NP
• Cornelia Busse, L.C.S.W.
• Richard Grant Busse, PHD PSYCHOLOGIST
• Esmeralda Bustamante, MA
• Anissa C Butler, MD
• Caitlin Siobhan Butler, LMFT, LPCC

• Occupational Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.