Individual provider Active NPI

Philip A Rush, M.D.

  • Pediatrics Physician
  • Walnut Creek, CA
National Provider Identifier
1922023993
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G28043 Issued in CA
Practice address
1844 San Miguel Dr Ste 310
Walnut Creek, CA 94596-4963
Phone
(925) 937-6000
Fax
(925) 937-2823
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G28043 CA Primary

Addresses

Primary practice location

1844 San Miguel Dr Ste 310
Walnut Creek, CA 94596-4963

Mailing address

1844 San Miguel Dr Ste 310
Walnut Creek, CA 94596-4963
Phone (925) 937-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090312000675 CA Practitioner - Pediatric Medicine 6507922747 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G28043CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Sleep Diagnostics, Inc. CurrentSince Feb 6, 2023 Accepting new patients
Bass Medical Group Current Accepting new patients
Bass Medical Group CurrentSince Feb 6, 2023 Accepting new patients
John Muir Physician Network CurrentSince Jan 1, 2005 Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112

91 Gregory Ln
Ste 15
Pleasant Hill, CA 94523
Phone (925) 685-0843

1844 San Miguel Dr
Ste 310
Walnut Creek, CA 94596
Phone (312) 259-4293

1450 Treat Blvd
Ste 300
Walnut Creek, CA 94597

Interoperability endpoints

  • Direct secure messaging: prush8300@ehr.johnmuirhealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1922023993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 SAN MIGUEL DR STE 310",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964963",
            "telephone_number": "925-937-6000",
            "fax_number": "925-937-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 SAN MIGUEL DR STE 310",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964963",
            "telephone_number": "925-937-6000",
            "fax_number": "925-937-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSH",
        "first_name": "PHILIP",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G28043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.