CHRISTINA DIANE BUSH (PA-C) – Assistant Behavior Analyst, NPI 1912555079

CHRISTINA DIANE BUSH (PA-C) is a healthcare provider. based in Modesto, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA63081 (CA). The NPI Number for CHRISTINA DIANE BUSH (PA-C) is 1912555079

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINA DIANE BUSH (PA-C)
NPI
1912555079
Phone
(209) 572-2589
Address
PO BOX 5157
Enumeration Date
30 August 2019
Last Update Date
21 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5302462467
Graduation Year
2023 (3 years ago)
PAC ID
7315392263
Group Practice PAC ID
3375533276
Professional Enrollment ID
I20231012000598
Address ID
CA960010814RE1255XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231012000598IPhysician AssistantCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making2020$0
99284Emergency department visit with moderate level of medical decision making1616$0
View full utilization report →

Insurance plans in this area (ZIP 95352)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375533276View full group profile
NameSpecialtyState
Nurse PractitionerCA
Physical Therapist In Private PracticeCA
Nurse PractitionerCA
Physical Therapist In Private PracticeCA
A N E S T H E S I O L O G YCA
Nurse PractitionerCA
Physical Medicine And RehabilitationCA
-CA
-CA
Orthopedic SurgeryCA

Reviews

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Frequently asked questions

What unique ID ties claims to CHRISTINA DIANE BUSH (PA-C)?
NPI 1912555079 is assigned to CHRISTINA DIANE BUSH (PA-C) under the national enumeration system.
Does this profile mean CHRISTINA DIANE BUSH (PA-C) is currently active?
Yes — CHRISTINA DIANE BUSH (PA-C) appears active in the national provider directory.
Can you summarize CHRISTINA DIANE BUSH (PA-C)'s specialty in plain language?
Clinically, the directory lists CHRISTINA DIANE BUSH (PA-C) with Assistant Behavior Analyst. Clinical services aligned with this taxonomy classification.
What location metadata exists for CHRISTINA DIANE BUSH (PA-C)?
The page summarizes Modesto, California for CHRISTINA DIANE BUSH (PA-C); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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