MS. LISA BUSH (NPI# 1205184470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205184470 |
| Entity Type | Individual |
| Full Name | MS. LISA BUSH |
| Other Name | MS. LISA PROTES-BUSH |
| Credential | P.A.-C. |
| Practice Address |
5151 State University Dr Los Angeles CA 90032-4226 |
| Practice Telephone | 3233433319 |
| Practice Fax Number | 3233433304 |
| Mailing Telephone | 3103433319 |
| Mailing Fax Number | 3233433304 |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2012-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA11201 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659402915 | Lisa N. Bush | Nurse Practitioner | 13262 Hwy 26 East, Davisboro, GA 31018 | 2007-03-08 |
| 1306382171 | Lisa M Bush | Nurse Practitioner | 3400 Civic Center Blvd, 3rd Floor, Phila, PA 19104-5127 | 2017-01-17 |
| 1710387881 | Lisa Bush | Genetic Counselor, MS | 1000 Johnson Ferry Road Ne, Atlanta, GA 30342-1611 | 2014-08-26 |
| 1689095358 | Lisa Renee Bush | Social Worker | 789 N Clare Ave, Harrison, MI 48625-9194 | 2013-12-26 |
| 1528372380 | Lisa D Bush | Physician Assistant | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2010-08-03 |
| 1326022856 | Lisa Bush | Dentist | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2005-11-29 |
| Street Address |
5151 STATE UNIVERSITY DR |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90032-4226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134120736 | Gerald Ko | Pharmacist | 5151 State University Dr, Los Angeles, CA 90032-4226 | 2005-08-04 |
| 1154930774 | Kyle Jeng-heng Chen | Nurse Practitioner | 5151 State University Dr, Los Angeles, CA 90032-4226 | 2020-07-29 |
| 1760914782 | California State University, Los Angeles | Chiropractor | 5151 State University Dr, Los Angeles, CA 90032-4226 | 2017-03-29 |
| 1508233313 | Young Kim | Pharmacist | 5151 State University Dr, Los Angeles, CA 90032-4226 | 2015-08-27 |
| 1871838417 | Rayne Dawson | Clinic/Center | 5151 State University Dr, Student Health Center, Los Angeles, CA 90032-4226 | 2012-12-09 |
| 1336493121 | California State University Los Angeles Student Health Center | Clinic/Center | 5151 State University Dr, Student Health Center, Los Angeles, CA 90032-4226 | 2012-11-01 |
| 1518193739 | California State University, Los Angeles Student Health Center | Clinic/Center | 5151 State University Dr, Student Health Center (shc), Los Angeles, CA 90032-4226 | 2009-06-02 |
| 1326273244 | Jeffery John Zielinski | Student in an Organized Health Care Education/Training Program | 5151 State University Dr, Student Health Center, Los Angeles, CA 90032-4226 | 2009-05-20 |
| 1407095144 | California State University Los Angeles Student Health Ctr. Pharmacy | Pharmacy | 5151 State University Dr, Csula Student Health Center Pharmacy, Los Angeles, CA 90032-4226 | 2009-02-19 |
| 1376781401 | Mahnoush Monica Jazzabi | Internal Medicine | 5151 State University Dr, California State University, Los Angeles, Los Angeles, CA 90032-4226 | 2009-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821615220 | Sarah Payne | Counselor | 3217 North Eastern Ave, Los Angeles, CA 90032 | 2020-07-01 |
| 1063867448 | Paul Mendez | Social Worker | 4099 North Mission Rd, Los Angeles, CA 90032 | 2016-05-04 |
| 1700245297 | Diana Truong | Pharmacist | 3333 S Figueroa St Unit 3, Los Angeles, CA 90032 | 2016-02-12 |
| 1114308400 | Francis Alvin Perez | Specialist/Technologist | 5035 O'sullivan Dr., Los Angeles, CA 90032 | 2015-06-12 |
| 1417351370 | Comfort Providers Group Hospice,inc. | Hospice Care, Community Based | 4943 Renovo Street., Los Angeles, CA 90032 | 2014-10-21 |
| 1679917652 | Principles Inc. | Substance Abuse Rehabilitation Facility | 3217 N Eastern Ave, Los Angeles, CA 90032 | 2013-04-22 |
| 1679851885 | Joshua M Arellano | Physical Therapist | 3836 Hellman Ave, Los Angeles, CA 90032 | 2011-07-22 |
| 1346532322 | Brenda Ramires-torres | Counselor | 2457 Endicott Street, Los Angeles, CA 90032 | 2011-05-09 |
| 1063716561 | Lisa Erin Gold | Social Worker | 4099 N. Mission Road, Los Angeles, CA 90032 | 2010-12-27 |
| 1992013320 | Mary Luikens | Counselor | 4099 N. Misson Rd., Los Angeles, CA 90032 | 2010-09-20 |
| Find all providers in zip 90032 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929644 | Tatum Little | Physician Assistant | 3307 W 79th St, Los Angeles, CA 90043-5249 | 2020-10-15 |
| 1144828963 | Chan Ho Park | Physician Assistant | 4721 Oakwood Ave, Los Angeles, CA 90004-3112 | 2020-10-14 |
| 1235737172 | Jennifer Rae Levitt Physician Assistant, Inc | Physician Assistant | 1439 N Highland Ave Ste 1059, Los Angeles, CA 90028-7622 | 2020-10-13 |
| 1174120943 | Melody Fatehi | Physician Assistant | 6228 Orange St Apt 9, Los Angeles, CA 90048-4836 | 2020-10-05 |
| 1467063826 | Hannah Shannon Rihani | Physician Assistant | 1737 Midvale Ave, Los Angeles, CA 90024-5512 | 2020-08-11 |
| 1356969901 | Emily Rachel Lavi | Physician Assistant | 1132 S Holt Ave Apt 7, Los Angeles, CA 90035-2424 | 2020-07-09 |
| 1083242952 | Julia Andrea Hurtado | Physician Assistant | 3783 Cimarron St, Los Angeles, CA 90018-4463 | 2020-03-27 |
| 1174150130 | Susan C. Williams | Physician Assistant | 2215 Alcazar St, Los Angeles, CA 90033-1003 | 2020-03-26 |
| 1720615776 | Shannon Hakakeyan | Physician Assistant | 1580 Manning Ave Apt 303, Los Angeles, CA 90024-6086 | 2020-03-26 |
| 1952938243 | Jayanti Sharma | Physician Assistant | 1515 Amherst Ave Apt 303, Los Angeles, CA 90025-3677 | 2020-03-25 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90032 |
Please comment or provide details below to improve the information on MS. LISA BUSH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.