JOAN E. BRADLEY (NPI# 1366461998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366461998 |
| Entity Type | Individual |
| Full Name | JOAN E. BRADLEY |
| Credential | D.P.M. |
| Practice Address |
15004 Innovation Dr San Diego CA 92128-3491 |
| Mailing Address |
10790 Rancho Bernardo Rd San Diego CA 92127-5705 |
| Practice Telephone | 8586057974 |
| Practice Fax Number | 8586057349 |
| Mailing Telephone | 8586057974 |
| Mailing Fax Number | 8586057349 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2019-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | T11655 | CA | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154752996 | Joan Bradley | Registered Nurse | 1101 Lopez Rd Sw, Albuquerque, NM 87105-3954 | 2013-12-04 |
| 1831183128 | Joan D Bradley | Family Medicine | 115 Park St Se, Suite 300, Vienna, VA 22180-4653 | 2005-09-01 |
| Street Address |
15004 INNOVATION DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128-3491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851376222 | Scripps Clinic Medical Group | Clinic/Center | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2005-12-08 |
| 1023642097 | Amy Joelle Chamberlain | Physical Therapist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-27 |
| 1790318715 | Cameron Devany | Speech-Language Pathologist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-18 |
| 1851924252 | Janelle Marie Wilson | Physical Therapy Assistant | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-14 |
| 1285267617 | Mitchell Russo | Physical Therapist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-13 |
| 1427681873 | Lucy Santillan | Physical Therapist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-13 |
| 1740813112 | Monique Munro Werner | Physical Therapist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-13 |
| 1003449422 | Margaret Ann Fuller | Occupational Therapist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-13 |
| 1023641586 | Katie Jo Rodgers | Speech-Language Pathologist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-12 |
| 1649802166 | Irina Keefer | Physical Therapist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
| 1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
| Find all providers in zip 92128 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568715225 | Andrew James Felfoldi | Podiatrist | 3405 Kenyon St., Suite 502, San Diego, CA 92110 | 2012-10-18 |
| 1568799294 | Steven Cheung | Podiatrist | 1778 Grand Ave, San Diego, CA 92109-4414 | 2009-11-17 |
| 1447371646 | Harvey Charles Davis | Podiatrist | 4115 Ohio St, San Diego, CA 92104-1911 | 2007-04-03 |
| 1053430322 | Stephen Clark Wagers | Podiatrist | 9360 Twin Mountain Cir, San Diego, CA 92126-4827 | 2007-03-28 |
| 1740321520 | James John Felfoldi | Podiatrist | 3340 Kemper St Ste 102, San Diego, CA 92110-4907 | 2007-02-12 |
| 1346310695 | Eugene Jeffrey Barney | Podiatrist | 3830 Valley Centre Dr, 705-413, San Diego, CA 92130-3320 | 2006-11-08 |
| 1407945496 | Jeffrey David Korn | Podiatrist | 5341 Outlook Pt, San Diego, CA 92124-1819 | 2006-10-11 |
| 1750331252 | Robert John Vallone | Podiatrist | 3363 4th Ave, San Diego, CA 92103-5703 | 2006-05-12 |
| 1225004435 | Sports Arena Podiatry Group Inc | Podiatrist | 3340 Kemper St, Ste 102, San Diego, CA 92110-4907 | 2006-02-27 |
| 1740253368 | Jere Alan Miller | Podiatrist | 4060 Huerfano Ave, #312, San Diego, CA 92117-5207 | 2006-02-13 |
| 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.