PROF. LISA LAVERNE BRADLEY (NPI# 1427106764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427106764 |
| Entity Type | Individual |
| Full Name | PROF. LISA LAVERNE BRADLEY |
| Credential | PA-C |
| Practice Address |
3831 Stocker St Los Angeles CA 90008-5103 |
| Mailing Address |
2823 E 7th St Apt. 8 Long Beach CA 90804-4803 |
| Practice Telephone | 3232916234 |
| Practice Fax Number | 3232917953 |
| Mailing Telephone | 5622250450 |
| Mailing Fax Number | 3232917953 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
CA13997 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174080386 | Lisa Bradley | Massage Therapist | 1000 Elk Ct, Divide, CO 80814-7744 | 2019-02-24 |
| 1063878114 | Lisa Ann Bradley | Counselor | 189 Charleston Ave, Bremen, GA 30110-7914 | 2016-01-05 |
| 1598107989 | Lisa Deann Bradley | Chiropractor | 400 W 4th St Ste B, Corning, AR 72422-2724 | 2013-07-25 |
| 1487962577 | Lisa Lee Bradley | Social Worker | 39 Taunton Grn, Taunton, MA 02780-3251 | 2010-09-22 |
| 1255981668 | Lisa Bradley | Nurse Practitioner | 500 Parnassus Ave, San Francisco, CA 94143-2203 | 2019-09-17 |
| 1114486743 | Lisa Charisee Bradley | Homemaker | 4135 Holman Ln, Saint Louis, MO 63134-3925 | 2019-03-13 |
| 1477066645 | Lisa Bradley | Licensed Practical Nurse | 500 Burlington Rd Ste 240, Jackson, OH 45640-9360 | 2017-11-10 |
| 1952853442 | Lisa Marie Bradley | Counselor | 60575 Billadeau Rd, Bend, OR 97702-9338 | 2016-10-31 |
| 1083074231 | Lisa C. Bradley | Counselor | 6832 Phillips Mill Rd, New Hope, PA 18938-9682 | 2016-03-01 |
| 1801225347 | Lisa Bradley | Pharmacist | 1601 Monmouth St, Newport, KY 41071-2634 | 2013-11-05 |
| Street Address |
3831 STOCKER ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90008-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275717738 | Forum Medical Group | Orthopaedic Surgery | 3831 Stocker St, Los Angeles, CA 90008-5103 | 2007-12-19 |
| 1992895916 | Arthur Grover Collins | General Acute Care Hospital | 3831 Stocker St, Los Angeles, CA 90008-5103 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185215 | Mishanda Y Freeman | Social Worker | 3001 West Vernon Ave, Los Angeles, CA 90008 | 2019-10-11 |
| 1104390723 | Joana Rodriguez | Rehabilitation Practitioner | 3731 Stocker St., Suite 105, Los Angeles, CA 90008 | 2019-01-16 |
| 1356840128 | Acclivity | Community/Behavioral Health | 3870 Crenshaw Blvd Ste 229, Los Angeles, CA 90008 | 2018-02-07 |
| 1376055145 | Gentle F Carcamo | Rehabilitation Practitioner | 3731 Stoker Street, Ste. 105, Los Angeles, CA 90008 | 2017-11-01 |
| 1710498332 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4173 2nd Ave, Los Angeles, CA 90008 | 2017-10-23 |
| 1144748591 | Alexandra Nicole Romero | Social Worker | 3751 Stocker St., Los Angeles, CA 90008 | 2017-09-06 |
| 1669998209 | Leslie S Ortiz | Counselor | 3731 Stocker Street, Suite 105, Los Angeles, CA 90008 | 2017-08-15 |
| 1902335078 | Deanna L Williams | Counselor | 3757 Santa Rosalia Drive, #628, Los Angeles, CA 90008 | 2017-06-12 |
| 1609300508 | Lydia Quintanills | Counselor | 3756 Santa Rosalia Dr Suite 617, Los Angeles, CA 90008 | 2017-04-18 |
| 1881056661 | A Plus Care Giver Services | Clinic/Center | 2420 W. Mlk Jr. Blvd, Los Angeles, CA 90008 | 2016-03-22 |
| Find all providers in zip 90008 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
| 1942738943 | Sophavy Suon | Physician Assistant | 11611 San Vicente Blvd Lbby Level, Los Angeles, CA 90049-5106 | 2017-06-02 |
| 1619429503 | Rachel Frankenthal | Physician Assistant | 200 Medical Plz Ste 220, Ucla Department of Obgyn, Los Angeles, CA 90095-0001 | 2016-10-26 |
| 1982152815 | Accessmed A Physician Assistant Professional Corporation | Physician Assistant | 1055 W 7th St Fl 33, Los Angeles, CA 90017-2577 | 2016-09-20 |
| 1043766363 | Amber Joy Rangel | Physician Assistant | 2523 Armacost Ave, Los Angeles, CA 90064-2715 | 2016-08-28 |
| 1184080459 | Doreen Yasharel | Physician Assistant | 824 S Wooster St Apt 306, Los Angeles, CA 90035-1745 | 2016-01-02 |
| 1649649443 | Thuy Vo | Physician Assistant | 5841 Bowcroft St, Unit 2, Los Angeles, CA 90016-4955 | 2015-09-22 |
| 1649655663 | Carlee Ettinger | Physician Assistant | 2751 Rinconia Dr, Los Angeles, CA 90068-2227 | 2015-07-21 |
| 1841681467 | Lauren Layson | Physician Assistant | 4049 Via Marisol, Los Angeles, CA 90042-5055 | 2015-02-18 |
| 1871981282 | Dianne Desiree Rivera Navoa | Physician Assistant | 8631 W 3rd St Ste 1035e, Los Angeles, CA 90048-5964 | 2015-01-07 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90008 |
Please comment or provide details below to improve the information on PROF. LISA LAVERNE BRADLEY.
| 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.