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DIANA BUSH PMHNP
NPI 1104472174
Nurse Practitioner - Psychiatric/Mental Health in Orange, CA

Active since August 14, 2019PECOS Enrolled
1100 W TOWN AND COUNTRY RD STE 1232, ORANGE, CA 92868(714) 817-7447 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 23, 2025, Dec 1, 2025, Feb 10, 2025 and 3 more (6 updates tracked since 2019).

About Diana Bush Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANA BUSH PMHNP (NPI 1104472174) is an individual psychiatric/mental health provider in Orange, California, licensed in California (95021382) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1104472174
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDIANA BUSHCredential: PMHNP
Location Address1100 W TOWN AND COUNTRY RD STE 1232Orange, CA 92868-4600
Mailing Address1100 W Town And Country Rd Ste 1250Orange, CA 92868-4633 · (714) 817-7447
Phone(714) 817-7447
Sole ProprietorYes
Enumeration DateAugust 14, 2019
Last NPPES UpdateDecember 23, 20256 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
✔ NPI 1104472174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95021382
Also ListedRegistered NurseTaxonomy 163W00000X · License 828188 (CA)
1100 W TOWN AND COUNTRY RD STE 1232, Orange, CA 92868
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1555 W 5th St Fl 35Los Angeles, CA 90013-1010 · Phone (714) 410-6588
Location 2650 California St Fl 7San Francisco, CA 94108-2737 · Phone (714) 410-6588
Location 39920 Pacific Heights Blvd Ste 150San Diego, CA 92121-4361 · Phone (714) 410-6588
Location 4473 E Carnegie Dr #200San Bernardino, CA 92408 · Phone (714) 817-7447

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diana Bush Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92868 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHA-BUSH NURSING CORP
Nurse Practitioner (Psychiatric/Mental Health)
1100 W TOWN AND COUNTRY RD STE 1232
ORANGE, CA 92868
Orange County (714) 817-7447

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diana Bush's NPI number?

The NPI number for Diana Bush is 1104472174. It was assigned to this individual provider in the NPPES registry on August 14, 2019.

Where is Diana Bush located?

Diana Bush practices at 1100 W Town And Country Rd Ste 1232, Orange, CA 92868. The listed phone number is (714) 817-7447.

What is Diana Bush's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Diana Bush enrolled in Medicare?

Yes. Diana Bush is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Diana Bush was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.