Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Arianna Bush

Individual provider Physician Assistant · NPI 1043196603

Arianna Bush is a Physician Assistant in Lodi, California. Qualified in 2025, 1 year ago. Practices with Team Physicians of California Medical Group Inc, a 88-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025

Practice location Address checks out

975 S Fairmont Ave
Lodi, CA 95240-5118
Phone: (209) 334-3411
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1043196603
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedAugust 11, 2025
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025
Mailing address975 S Fairmont Ave, Lodi, CA 95240-5118

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Team Physicians Of California Medical Group Inc — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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