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

Ethan Bushman

Individual provider Critical Care Medicine Registered Nurse · NPI 1447648605

Ethan Bushman is a Critical Care Medicine Registered Nurse in Oakland, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
Specialties on file
2

Practice location Address checks out

3600 Broadway
Oakland, CA 94611-5730
Phone: (510) 752-1000
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 95000254 (CA)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 686467 (CA)

Record details

NPI number1447648605
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 22, 2014
Last updated in NPPESJanuary 3, 2022
Mailing address3600 Broadway, Oakland, CA 94611-5730

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