DR. PHILIP A BRADFORD (NPI# 1558419945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558419945 |
| Entity Type | Individual |
| Full Name | DR. PHILIP A BRADFORD |
| Credential | DDS |
| Practice Address |
1970 University Ave Riverside CA 92507-5202 |
| Mailing Address |
8151 Arlington Ave Ste U-v Riverside CA 92503-0436 |
| Practice Telephone | 9512760668 |
| Practice Fax Number | 9513289578 |
| Mailing Telephone | 9515880861 |
| Mailing Fax Number | 9515881910 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-09-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
19329 | CA | Dental Providers |
| Street Address |
1970 UNIVERSITY AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507-5202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528121357 | Valeria Pereira | Dentist | 1970 University Ave, Riverside, CA 92507-5202 | 2006-12-19 |
| 1972048601 | Cynthia Maria Zavala | Nurse Practitioner | 1970 University Ave, Riverside, CA 92507-5202 | 2017-01-04 |
| 1093149783 | Felipe Mendez Cendejas | Physician Assistant | 1970 University Ave, Riverside, CA 92507-5202 | 2013-08-29 |
| 1790075315 | Borrego Community Health Foundation | Clinic/Center | 1970 University Ave, Riverside, CA 92507-5202 | 2011-04-15 |
| 1861690224 | Kimberley Dawn Evans | Dental Hygienist | 1970 University Ave, Riverside, CA 92507-5202 | 2007-07-06 |
| 1578761193 | Mak Nai Dohr | Dental Hygienist | 1970 University Ave, Riverside, CA 92507-5202 | 2007-07-05 |
| 1255538252 | Mitsuko Murata | Dental Hygienist | 1970 University Ave, Riverside, CA 92507-5202 | 2007-07-02 |
| 1689896326 | Robert B Martin | Dentist | 1970 University Ave, Riverside, CA 92507-5202 | 2007-05-03 |
| 1609996107 | Maria Salve Bueno | Dentist | 1970 University Ave, Riverside, CA 92507-5202 | 2007-03-29 |
| 1053469379 | Community Health Systems | Dentist | 1970 University Ave, Riverside, CA 92507-5202 | 2007-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| Find all providers in zip 92507 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932710522 | Fadi Demian | Dentist | 8990 Garfield St Ste 4, Riverside, CA 92503-3922 | 2020-08-16 |
| 1942819966 | Aaron Michael Coyoca | Dentist | 5051 Canyon Crest Dr Ste 103, Riverside, CA 92507-6035 | 2020-07-26 |
| 1205452265 | Av Family Dentistry | Dentist | 2211 University Ave, Riverside, CA 92507-4259 | 2020-06-24 |
| 1821619966 | Dr Paz Casanova Dental Group Inc | Dentist | 8151 Arlington Ave Ste R, Riverside, CA 92503-0437 | 2020-04-29 |
| 1700439668 | Sumin Kang | Dentist | 19040 Van Buren Blvd Ste 111, Riverside, CA 92508-9160 | 2019-07-19 |
| 1295397107 | Cole Cameron Scott | Dentist | 3731 Tibbetts St Ste 1, Riverside, CA 92506-2604 | 2019-07-01 |
| 1457912040 | Kashif Ahmed | Dentist | 19510 Van Buren Blvd Ste F5, Riverside, CA 92508-9458 | 2019-06-24 |
| 1831652197 | Christina Bui | Dentist | 3602 Riverside Plaza Dr Ste 101, Riverside, CA 92506-2726 | 2019-04-12 |
| 1558846725 | Riverside Family Dental, LLC | Dentist | 1445 Wampanoag Trl Unit 209, Riverside, RI 02915-1019 | 2018-10-03 |
| 1053893271 | Tsibel Dental Practice Inc. | Dentist | 10181 Magnolia Ave, Riverside, CA 92503 | 2018-09-04 |
| Find all providers in RIVERSIDE | ||||
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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.