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

Kelly Ann Bush, MD

Individual provider Pediatrics Physician · NPI 1073831079

Kelly Ann Bush, MD is a Pediatric Medicine in San Diego, California. Graduated from New York Medical College in 2010, 16 years ago. Practices with Rady Children's Hospital San Diego, a 161-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
16
Trained at
New York Medical College
Licensed in
CA
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3010 Childrens Way
San Diego, CA 92123-4223
Phone: (858) 966-5811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Hematology & Oncology Physician (primary) Taxonomy 2080P0207X · Licence A125141 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence A125141 (CA)

Record details

NPI number1073831079
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 14, 2010
Last updated in NPPESJune 18, 2020
Certification dateJune 18, 2020

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Also practisesHEMATOLOGY/ONCOLOGY
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 2010 (16 years in practice)
Group practice Rady Children'S Hospital San Diego — 161 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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