Vanessa Bush
Rehabilitation Practitioner in San Diego, CA. Individual provider (NPI-1).
NPI number1134098379
StatusActive
Last updated in NPPESNov 6, 2025
Details
- NPI
- 1134098379
- Entity type
- Individual (NPI-1)
- Name
- Vanessa Bush
- Sole proprietor
- No
- Enumeration date
- Nov 4, 2025
- Certification date
- Nov 6, 2025
- Last updated
- Nov 6, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
Practice location
3570 Camino Del Rio N Ste 210San Diego, CA 92108-1747
Phone 619-507-9333
Mailing address
3570 Camino Del Rio NSan Diego, CA 92108-1747
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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