DESIRAE D'SHAWN BUSH
NPI 1942915111
Peer Specialist in Riverside, CA

Active since January 20, 2023
3576 ARLINGTON AVE STE 106, RIVERSIDE, CA 92506(951) 788-5905(951) 788-5903 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 11, 2024, Apr 10, 2023, Jan 20, 2023 (3 updates tracked since 2023).

About Desirae D'shawn Bush NPPES

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

DESIRAE D'SHAWN BUSH (NPI 1942915111) is an individual peer specialist in Riverside, California, licensed in California (MPSS-MAUCYV) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1942915111
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameDESIRAE D'SHAWN BUSH
Location Address3576 ARLINGTON AVE STE 106Riverside, CA 92506-3907
Mailing Address3576 Arlington Ave Ste 106Riverside, CA 92506-3907 · (951) 788-5905
Fax(951) 788-5903
Sole ProprietorYes
Enumeration DateJanuary 20, 2023
Last NPPES UpdateJune 11, 20243 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
NPI 1942915111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in CA · MPSS-MAUCYV
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Also ListedCommunity Health WorkerTaxonomy 172V00000X
3576 ARLINGTON AVE STE 106, Riverside, CA 92506

Other Providers at the Same Location NPPES 20

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

Peer Specialist
3576 ARLINGTON AVE STE 106
RIVERSIDE, CA 92506
Student in an Organized Health Care Education/Training Program
3576 ARLINGTON AVE STE 106
RIVERSIDE, CA 92506
Registered Nurse (Pediatrics)
3576 ARLINGTON AVE STE 106
RIVERSIDE, CA 92506
Student in an Organized Health Care Education/Training Program
3576 ARLINGTON AVE STE 106
RIVERSIDE, CA 92506
Case Manager/Care Coordinator
3576 ARLINGTON AVE STE 106
RIVERSIDE, CA 92506
Community Health Worker
3576 ARLINGTON AVE STE 106
RIVERSIDE, CA 92506
Community Health Worker
3576 ARLINGTON AVE STE 106
RIVERSIDE, CA 92506
Case Manager/Care Coordinator
3576 ARLINGTON AVE STE 106
RIVERSIDE, CA 92506

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 Desirae Bush's NPI number?

The NPI number for Desirae Bush is 1942915111. It was assigned to this individual provider in the NPPES registry on January 20, 2023.

Where is Desirae Bush located?

Desirae Bush practices at 3576 Arlington Ave Ste 106, Riverside, CA 92506. The listed phone number is (951) 788-5905.

What is Desirae Bush's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Desirae Bush was last updated on June 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.