CHRISTINA DIANE BUSH (PA-C) – Assistant Behavior Analyst, NPI 1912555079
Assistant Behavior Analyst
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for CHRISTINA DIANE BUSH (PA-C)
PO BOX 5157
MODESTO, CA 953525157
Phone: (209) 572-2589
Type: Mailing
4196 DOUGLAS BLVD
GRANITE BAY, CA 957465904
Phone: (209) 572-2589
Type: Location
168 N Brent St Ste 505
Ventura, CA 930032840
Phone: (805) 648-3902
Fax: (805) 648-4014
Type: Location
411 FOREST PARK BLVD
OXNARD, CA 930365310
Phone: (916) 316-8178
Type: Mailing
15031 RINALDI ST
MISSION HILLS, CA 913451207
Phone: (916) 316-8178
Type: Location
PO BOX 991950
REDDING, CA 960991950
Phone: (530) 246-2467
Fax: (530) 242-9460
Type: Mailing
1255 LIBERTY ST
REDDING, CA 960010814
Phone: (530) 246-2467
Fax: (530) 242-9460
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-10-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231012000598 | I | Physician Assistant | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 20 | 20 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 16 | 16 | $0 |
Insurance plans in this area (ZIP 95352)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| Physical Therapist In Private Practice | CA | |
| Nurse Practitioner | CA | |
| Physical Therapist In Private Practice | CA | |
| A N E S T H E S I O L O G Y | CA | |
| Nurse Practitioner | CA | |
| Physical Medicine And Rehabilitation | CA | |
| - | CA | |
| - | CA | |
| Orthopedic Surgery | CA |
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