MR. DERE RANDOLPH BUSHEY BSN NPI 1285763847

NPI Information

  • NPI: 1285763847
  • Provider Name: MR. DERE RANDOLPH BUSHEY, BSN
  • Classification: Registered Nurse - 163WP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 1437 N STUDEBAKER RD
    LONG BEACH, CA
    ZIP 90815
  • Phone: (562) 598-0553

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NPI Details

MR. Dere Randolph Bushey, BSN is a psychiatric/mental health registered nurse in Long Beach, CA. MR. Dere Randolph Bushey, BSN NPI is 1285763847. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1437 N STUDEBAKER RD
LONG BEACH, CA
ZIP 90815-838
Phone: (562) 598-0553

The enumeration date for this NPI number is 3/2/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0808XRegistered NursePsychiatric/Mental HealthRN288389CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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