BRADFORD WOLFRAM (NPI# 1366733636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366733636 |
| Entity Type | Individual |
| Full Name | BRADFORD WOLFRAM |
| Credential | M.D. |
| Practice Address |
5105 W Goldleaf Cir Los Angeles CA 90056-1269 |
| Practice Telephone | 3232983129 |
| Mailing Telephone | 3232983129 |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2015-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A136830 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
5105 W GOLDLEAF CIR |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90056-1269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467489187 | Karen Lee Kessler | Social Worker | 5105 W Goldleaf Cir, Los Angeles, CA 90056-1269 | 2006-06-27 |
| 1275067563 | Judith Fager | Registered Nurse | 5105 W Goldleaf Cir, Los Angeles, CA 90056-1269 | 2017-04-13 |
| 1699208330 | Lori Chang | Dietitian, Registered | 5105 W Goldleaf Cir, Los Angeles, CA 90056-1269 | 2017-04-10 |
| 1952834764 | Renaldo Wilson | Nutritionist | 5105 W Goldleaf Cir, Los Angeles, CA 90056-1269 | 2017-04-07 |
| 1912364290 | Carolyn Matteson | Psychologist | 5105 W Goldleaf Cir, Los Angeles, CA 90056-1269 | 2016-01-18 |
| 1578929519 | Lyndee Taketa | Psychologist | 5105 W Goldleaf Cir, Los Angeles, CA 90056-1269 | 2016-01-06 |
| 1821462722 | Daniela Covel Zanich | Social Worker | 5105 W Goldleaf Cir, Los Angeles, CA 90056 | 2015-11-16 |
| 1558651448 | Lily Ngo Tran | Psychiatry & Neurology | 5105 W Goldleaf Cir, Los Angeles, CA 90056-1269 | 2011-04-12 |
| 1720222847 | Rose Nikravesh | Psychiatry & Neurology | 5105 W Goldleaf Cir, Los Angeles, CA 90056-1269 | 2009-04-21 |
| 1124289202 | Margarita I Somova | Psychiatry & Neurology | 5105 W Goldleaf Cir, Wateridge Psychiatry, Los Angeles, CA 90056-1269 | 2008-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255588026 | Miriam Gutierrez | Psychologist | 5110 W. Goldleaf Circle, Los Angeles, CA 90056 | 2008-08-25 |
| 1699800136 | Burl Roddy Moore | Social Worker | 5317 Corning Ave., Los Angeles, CA 90056 | 2007-02-23 |
| 1821204058 | Thc - Orange County, LLC | General Practice | 5525 W Slauson Ave, Los Angeles, CA 90056 | 2007-05-15 |
| 1447335146 | Thc - Orange County, LLC | Long Term Care Hospital | 5525 W Slauson Ave, Los Angeles, CA 90056 | 2006-10-25 |
| 1033390463 | Phillip Gordon Mckinley | Emergency Medicine | 5219 Reynier Ave, Los Angeles, CA 90056-1018 | 2007-11-14 |
| 1508852518 | William Robert Reeve | Pharmacist | 5231 Senford Ave, Los Angeles, CA 90056-1024 | 2005-09-25 |
| 1417083791 | James L Meltzer | Internal Medicine | 5525 West Flauson Ave Kindred Hospital, Los Angeles, CA 90056-1047 | 2007-02-23 |
| 1952363012 | Glenview Pathology Medical Group | Pathology | 5525 W Slauson Ave, Los Angeles, CA 90056-1047 | 2006-04-04 |
| 1417450461 | Natalie Meyer | Pharmacist | 5525 W Slauson Ave, Los Angeles, CA 90056-1047 | 2018-03-16 |
| 1154839686 | Scott Douglas Stallard | Physical Therapist | 5525 W Slauson Ave, Los Angeles, CA 90056-1047 | 2018-01-18 |
| Find all providers in zip 90056 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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| 1881241453 | Bryan Yang Md Inc | Psychiatry & Neurology | 2221 W Olympic Blvd Ste 200, Los Angeles, CA 90006-2117 | 2019-08-19 |
| 1962063859 | Nida Kichkla | Psychiatry & Neurology | 1010 N Avenue 66, Los Angeles, CA 90042-1512 | 2019-06-22 |
| 1669976874 | Pulse Tms, A Medical Corporation | Psychiatry & Neurology | 1663 Sawtelle Blvd Ste 240, Los Angeles, CA 90025-3198 | 2018-03-21 |
| 1376047670 | Sasha Getty | Psychiatry & Neurology | 11301 Wilshire Blvd Rm 6428, Los Angeles, CA 90073-1003 | 2018-03-21 |
| 1972038388 | Eric Michael | Psychiatry & Neurology | 11301 Wilshire Blvd Bldg 401, Los Angeles, CA 90073-1003 | 2017-04-23 |
| 1386175941 | Christopher Junpyo Hong | Psychiatry & Neurology | 2250 Alcazar St # 2200, Los Angeles, CA 90089-2498 | 2017-03-24 |
| 1558892638 | David Zhang | Psychiatry & Neurology | 760 Westwood Plz Ste 17-413, Los Angeles, CA 90024-5055 | 2017-03-21 |
| 1306399951 | Gotham Psychiatric PC | Psychiatry & Neurology | 5419 Hollywood Blvd Ste C172, Los Angeles, CA 90027-3480 | 2016-08-01 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90056 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.