MS. SUSAN BRADLEY (NPI# 1578891248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578891248 |
| Entity Type | Individual |
| Full Name | MS. SUSAN BRADLEY |
| Credential | R.N. |
| Practice Address |
1624 Highland St Seaside CA 93955-4512 |
| Practice Telephone | 8312386111 |
| Mailing Telephone | 8312386111 |
| Mailing Fax Number | 5092722002 |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2009-11-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
605287 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194170712 | Susan Bradley | Behavioral Analyst | 1951 Seminole Dr, Valdosta, GA 31601-0329 | 2016-05-02 |
| 1770998270 | Susan Ann Bradley | Respiratory Therapist, Registered | 5 Messenger St, Saint Albans, VT 05478-1519 | 2014-06-24 |
| 1720200439 | Susan R Bradley | Chiropractor | 6 E 84th St, New York, NY 10028-0404 | 2007-05-03 |
| 1083791743 | Susan Bradley | Physical Therapist | 460 Providence Hwy, Dedham, MA 02026-6815 | 2006-11-01 |
| 1487215810 | Susan Kane Bradley | Pharmacist | 77 W Barney St, Gouverneur, NY 13642-1040 | 2019-06-26 |
| 1396187084 | Susan M Bradley | Dental Hygienist | 340 Printers Pkwy, Colorado Springs, CO 80910-3190 | 2013-07-23 |
| 1205060506 | Susan Leigh Bradley | Recreation Therapist | 2200 Fort Roots Drive, North Little Rock, AR 72114-1706 | 2009-05-14 |
| 1821117458 | Susan P Bradley | Psychologist | 115 Mill St, Belmont, MA 02478-1041 | 2007-03-28 |
| 1720167877 | Susan G Bradley | Internal Medicine | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2006-11-02 |
| Street Address |
1624 HIGHLAND ST |
| City | SEASIDE |
| State | CA |
| Zip Code | 93955-4512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912472614 | Benbenedic Montoya Aquino | Registered Nurse | 2095, 2095 Paralta Avenue, Seaside, CA 93955 | 2018-10-09 |
| 1316435803 | Teddy Yaw Akosa Agyapong | Pharmacist | 1055 Fremont Bld, Seaside, CA 93955 | 2018-04-30 |
| 1700381423 | Edmundo Fimbres Od Inc | Optometrist | 915 Hilby Ave Ste 1, Seaside, CA 93955 | 2018-03-26 |
| 1275948671 | Brian Peter Farley | Marriage & Family Therapist | 1187 Broadway Ave, Seaside, CA 93955 | 2014-06-24 |
| 1689953044 | Vertis Nathaniel Elmore IIi | Marriage & Family Therapist | 1069 Broadway Ave., Suite 201, Seaside, CA 93955 | 2011-08-16 |
| 1598944993 | Mary Theresa Panlilio | Dentist | 1249 Fremont Blvd, Suite B, Seaside, CA 93955 | 2007-11-01 |
| 1346459641 | Caroline Thomas Haskell | Social Worker | 100 Campus Center, Bldg 80, Seaside, CA 93955 | 2007-05-22 |
| 1811014715 | Anita Gor | Optometrist | 2040 California Ave. Target, Target Optical, Sand City, CA 93955 | 2007-03-23 |
| 1942333059 | Central Coast Pediatric Dental Group | Dentist | 1717 Fremont Blvd, Seaside, CA 93955 | 2007-03-14 |
| 1831209436 | Costco Wholesale Corporation | Pharmacy | 801 Tioga Ave, Sand City, CA 93955 | 2006-08-30 |
| Find all providers in zip 93955 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093148 | Edith K Augustt | Registered Nurse | 8954 Reseda Blvd Ste 201, Northridge, CA 91324-6507 | 2020-11-04 |
| 1962002741 | Hayley Michelle Ohlwiler | Registered Nurse | 10 Waverly Pl, Ladera Ranch, CA 92694-0220 | 2020-10-29 |
| 1326647835 | Jazmin Flores | Registered Nurse | 230 N Sherman Ave, Corona, CA 92882-1843 | 2020-10-26 |
| 1700483153 | Anton Vu | Registered Nurse | 11222 Garden Grove Blvd, Garden Grove, CA 92843-1338 | 2020-10-07 |
| 1164036950 | Carol Theresa Brown | Registered Nurse | 14582 Agave St, Moreno Valley, CA 92553-7164 | 2020-08-31 |
| 1073127841 | Janice Richardson | Registered Nurse | 15986 Turtle Bay Pl, Fontana, CA 92336-4543 | 2020-08-31 |
| 1285247601 | Abena Bonsu | Registered Nurse | 5362 Fairview Blvd, Los Angeles, CA 90056-2308 | 2020-08-25 |
| 1710590245 | International Medical Group Inc, Home Healthcare & Hospice | Registered Nurse | 14431 Ventura Blvd Ste 507, Sherman Oaks, CA 91423-2606 | 2020-08-25 |
| 1942810049 | Andrew Christian Malintang | Registered Nurse | 1466 Shane Ct, Redlands, CA 92374-5710 | 2020-08-04 |
| 1568072916 | Halyna Kravets | Registered Nurse | 1402 W Colonial Pkwy, Roseville, CA 95661-5007 | 2020-07-31 |
| Find all providers with the same taxonomy | ||||
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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.