MR. MITCHELL BRADSHAW (NPI# 1134511322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134511322 |
| Entity Type | Individual |
| Full Name | MR. MITCHELL BRADSHAW |
| Practice Address |
3340 Kemper St Suite 103 San Diego CA 92110-4906 |
| Practice Telephone | 6197581433 |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
3340 KEMPER ST SUITE 103 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92110-4906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225004435 | Sports Arena Podiatry Group Inc | Podiatrist | 3340 Kemper St, Ste 102, San Diego, CA 92110-4907 | 2006-02-27 |
| 1053845156 | Paul Michael Mcbride | Counselor | 3340 Kemper St, Suite 105, San Diego, CA 92110-4906 | 2017-04-14 |
| 1407389489 | Sarah Gilliland | Specialist | 3340 Kemper St, San Diego, CA 92110-4906 | 2017-04-06 |
| 1952833733 | Monty Brewer | Counselor | 3340 Kemper St, Suite 105, San Diego, CA 92110-4906 | 2017-03-30 |
| 1366986903 | Olivia Mejia | Counselor | 3340 Kemper St, Suite 105, San Diego, CA 92110-4906 | 2016-12-16 |
| 1124562020 | Searra Maria Ruggeri | Counselor | 3340 Kemper St, Suite 105, San Diego, CA 92110-4906 | 2016-12-12 |
| 1457709842 | Shannon Drosdak | Counselor | 3340 Kemper St, Suite 105, San Diego, CA 92110-4906 | 2016-05-26 |
| 1538515051 | Karl Buckley | Counselor | 3340 Kemper St, Suite 105, San Diego, CA 92110-4906 | 2016-05-13 |
| 1922453752 | Lauren Spicer | Counselor | 3340 Kemper St, Suite 105, San Diego, CA 92110-4906 | 2016-04-29 |
| 1053773960 | Jaclyn Cornejo | Counselor | 3340 Kemper St, Suite 105, San Diego, CA 92110-4906 | 2016-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
| 1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
| 1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
| 1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
| 1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
| 1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
| 1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
| 1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1912352576 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
| Find all providers in zip 92110 | ||||
| Taxonomy Code | 101YS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774708 | High Tech High | Counselor | 2861 Womble Rd, San Diego, CA 92106-6025 | 2020-09-14 |
| 1477086163 | Rocio Garcia | Counselor | 7986 Dagget St., San Diego, CA 92111 | 2017-04-10 |
| 1669883070 | Latisha Hill Joseph | Counselor | 1455 Frazee Rd Ste 500, San Diego, CA 92108-4350 | 2014-05-20 |
| 1003935958 | Dacia Krasnow | Counselor | 17915 Caminito Pinero, 166, San Diego, CA 92128 | 2007-03-29 |
| 1932715810 | Jessica Styler | Counselor | 3767 Central Ave, San Diego, CA 92105-2506 | 2020-09-16 |
| 1780026930 | Jon Campos | Counselor | 892 27th St, San Diego, CA 92154-1444 | 2013-07-29 |
| 1932305794 | Karen Susan Billingsley | Counselor | 2351 Cardinal Ln # B, San Diego, CA 92123-3743 | 2007-06-26 |
| 1699896365 | Rene Lee Williamson | Counselor | 12520 High Bluff Dr, Suite 120, San Diego, CA 92130-2041 | 2007-04-02 |
| 1861519738 | Donald Samuels Sr. | Counselor | 2351 Cardinal Ln # B, San Diego, CA 92123-3743 | 2007-03-23 |
| 1366572166 | Ann Rubenstein | Counselor | 2351 Cardinal Ln # B, San Diego, CA 92123-3743 | 2007-03-07 |
| Find all providers in SAN DIEGO | ||||
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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.