CHRISTOPHER CARL BRADSHAW (NPI# 1730706029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730706029 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER CARL BRADSHAW |
| Practice Address |
8330 Reseda Blvd Northridge CA 91324-4619 |
| Practice Telephone | 8189961051 |
| Mailing Telephone | 8189961051 |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2020-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750721866 | Christopher Brian Bradshaw | Registered Nurse | 304 W Williams St, Waterloo, NY 13165-1331 | 2013-07-03 |
| 1245604768 | Christopher Michael Bradshaw | Physician Assistant | 2545 W Quail Ave, Phoenix, AZ 85027-2418 | 2015-11-20 |
| 1568499440 | Christopher J. Bradshaw | Emergency Medicine | 1250 E Marshall St, Emergency Medicine, Richmond, VA 23298-5051 | 2006-06-27 |
| Street Address |
8330 RESEDA BLVD |
| City | NORTHRIDGE |
| State | CA |
| Zip Code | 91324-4619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427043389 | Tarzana Treatment Centers, Inc. | Pharmacy | 8330 Reseda Blvd, Northridge, CA 91324-4619 | 2005-09-16 |
| 1346856903 | Armando Andres Barrientos | Case Manager/Care Coordinator | 8330 Reseda Blvd, Northridge, CA 91324-4619 | 2020-09-18 |
| 1912510058 | Stephanie Joselynne Rodriguez | Community Health Worker | 8330 Reseda Blvd, Northridge, CA 91324-4619 | 2020-08-28 |
| 1255943536 | Efren Garcia | Student in an Organized Health Care Education/Training Program | 8330 Reseda Blvd, Northridge, CA 91324-4619 | 2020-08-19 |
| 1760092464 | Clarissa Victoria Sanchez | Case Manager/Care Coordinator | 8330 Reseda Blvd, Northridge, CA 91324-4619 | 2020-08-06 |
| 1316564222 | Daurah Bernadette Williams | Case Manager/Care Coordinator | 8330 Reseda Blvd, Northridge, CA 91324-4619 | 2020-06-26 |
| 1427675305 | Sonya Lorraine Keith | Counselor | 8330 Reseda Blvd, Northridge, CA 91324-4619 | 2020-06-26 |
| 1821611781 | Kamalpreet Nat | Social Worker | 8330 Reseda Blvd, Northridge, CA 91324-4619 | 2020-05-26 |
| 1619598224 | Catrina Taylor Robin | Case Manager/Care Coordinator | 8330 Reseda Blvd, Northridge, CA 91324-4619 | 2020-05-05 |
| 1427683994 | Maria Baldasseroni | Marriage & Family Therapist | 8330 Reseda Blvd, Northridge, CA 91324-4619 | 2020-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803461 | Endeavor Recovery LLC | Clinic/Center | 8537 Yolanda Ave, Northridge, CA 91324 | 2020-02-20 |
| 1780227769 | Drs Concepts, Incorporated | Clinic/Center | 9335 Reseda Blvd. Suite 102, Northridge, CA 91324 | 2019-10-23 |
| 1023674421 | Expo Diagnostics, Inc. | Clinic/Center | 8619 Receda Blvd., Northridge, CA 91324 | 2019-05-13 |
| 1235601444 | Grace Peprah | Marriage & Family Therapist | 19037 Community Street, Northridge, CA 91324 | 2018-12-28 |
| 1336635531 | Kristel Fortuny Bushner | Specialist/Technologist | 9555 Reseda Blvd, 309, Northridge, CA 91324 | 2018-07-11 |
| 1710474358 | Rara Enterprises Inc | Pharmacy | 19331 Business Center Dr., Ste. 100, Northridge, CA 91324 | 2018-04-19 |
| 1205343670 | Mariana Nicol Valdez Castro | Behavior Technician | 9335 Reseda Blvd # 101, Northridge, CA 91324 | 2018-01-05 |
| 1033655220 | Benyaminy and Kashani Dds,inc. | Clinic/Center | 8954 Reseda Blvd #100, Northridge, CA 91324 | 2017-01-11 |
| 1366809915 | Tia Brisco | Counselor | 9700 Reseda Blvd Ste 208, Northridge, CA 91324 | 2016-01-26 |
| 1053780189 | Saloni Kadakia | Student in an Organized Health Care Education/Training Program | Ucla Olive View, 14445 Olive View Dr, Sylmar, Ca 91342, CA 91324 | 2015-09-18 |
| Find all providers in zip 91324 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477629 | Karen J Pompa | Peer Specialist | 2605 E Date Palm Paseo Apt 2194, Ontario, CA 91764-4670 | 2020-11-05 |
| 1033710231 | Marcus Kujawa | Peer Specialist | 85 Ramona Expy Ste 13, Perris, CA 92571-7014 | 2020-11-04 |
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1043826753 | Dayjahnay Shantay Davenport | Peer Specialist | 3347 Lincoln Ave, San Diego, CA 92104-2111 | 2020-09-17 |
| 1497364848 | Marissa Adrianna Garza | Peer Specialist | 1502 Verona Ct, Salinas, CA 93905-2249 | 2020-07-30 |
| 1235765801 | Jill Nina Bierman | Peer Specialist | 25322 Via Piedra Roja, Laguna Niguel, CA 92677-1824 | 2020-03-16 |
| 1427683101 | Gerardo Castro | Peer Specialist | 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134 | 2020-03-03 |
| 1437783180 | Samuel Guadron Rosales | Peer Specialist | 658 E Brier Dr Ste 250, San Bernardino, CA 92408-2875 | 2020-03-02 |
| 1356973234 | Salina Sheoli Romero | Peer Specialist | 40 West G Street Ste. B, Los Banos, CA 93635 | 2020-02-07 |
| 1578103313 | Charles Winfield Eproson Jr. | Peer Specialist | 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
| City | NORTHRIDGE |
| Zip Code | 91324 |
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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.