KATHRYN BRADLEY (NPI# 1770987281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770987281 |
| Entity Type | Individual |
| Full Name | KATHRYN BRADLEY |
| Credential | PA-C |
| Practice Address |
2725 Capitol Ave Dept 402 Sacramento CA 95816 |
| Mailing Address |
10470 Old Placerville Rd Ste 100 Sacramento CA 95827-2539 |
| Practice Telephone | 9162629400 |
| Practice Fax Number | 9162629399 |
| Mailing Telephone | 8004700071 |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2019-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA171544 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 52053 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1200 Hilyard St Ste 620, Eugene, OR 974018157 | 4582056500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417295510 | Kathryn Ann Bradley | Community Health Worker | 1004 George Ave, Rockledge, FL 32955-3802 | 2013-01-24 |
| 1952658114 | Kathryn Genevieve Bradley | Occupational Therapy Assistant | 11 E Masem Sq, East Patchogue, NY 11772-5607 | 2012-08-07 |
| 1598020828 | Kathryn Marie Bradley | Psychologist | 2319 Lime Kiln Ln, Suite B, Louisville, KY 40222-3417 | 2012-07-12 |
| 1457379943 | Kathryn L Bradley | Nurse Anesthetist, Certified Registered | 18574 Briggs Cir, Pt Charlotte, FL 33948-9600 | 2006-07-17 |
| 1821529975 | Kathryn Bradley | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2017-03-21 |
| 1588054241 | Kathryn Bradley | Registered Nurse | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2015-02-02 |
| 1710397310 | Kathryn Wiker Bradley | Speech-Language Pathologist | 25 E Lindsley Rd, Cedar Grove, NJ 07009-1023 | 2014-05-05 |
| 1073834362 | Kathryn Elizabeth Bradley | Psychiatry & Neurology | 2450 E River Rd, Tucson, AZ 85718-6526 | 2010-06-21 |
| Street Address |
2725 CAPITOL AVE DEPT 402 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598777658 | Scott C Braley | Surgery | 2725 Capitol Ave Dept 402, Sacramento, CA 95816-6032 | 2006-08-13 |
| 1053933978 | Emily Catherine Clyma | Physician Assistant | 2725 Capitol Ave Dept 402, Sacramento, CA 95816-6032 | 2020-05-13 |
| 1861884256 | Rhonda Sachiko Blankenheim | Physician Assistant | 2725 Capitol Ave Dept 402, Sacramento, CA 95816-6032 | 2015-02-23 |
| 1730587379 | Eric Kuo | Surgery | 2725 Capitol Ave Dept 402, Sacramento, CA 95816-6032 | 2014-12-14 |
| 1174949085 | Josefina Anita Dominguez | Surgery | 2725 Capitol Ave Dept 402, Sacramento, CA 95816-6032 | 2014-03-16 |
| 1396025409 | Jason Carl George | Physician Assistant | 2725 Capitol Ave Dept 402, Sacramento, CA 95816-6032 | 2011-08-19 |
| 1669603312 | Alexander B Merkle | Physician Assistant | 2725 Capitol Ave Dept 402, Sacramento, CA 95816-6032 | 2009-07-29 |
| 1508918616 | Brian Duke Park | Surgery | 2725 Capitol Ave Dept 402, Sacramento, CA 95816-6032 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271587 | Vera Pavlovna Kondrashov | Physician Assistant | 1860 Howe Ave Ste 455, Sacramento, CA 95825-1086 | 2020-10-04 |
| 1861017691 | Kathryn Anne Pashalides | Physician Assistant | 1400 57th St, Sacramento, CA 95819-4205 | 2020-06-08 |
| 1396369567 | Isabelle Shapiro | Physician Assistant | 1411 U St, Sacramento, CA 95818-1416 | 2020-06-03 |
| 1487276382 | Ndaya Briana Kalambay | Physician Assistant | 3910 Auburn Blvd Apt 68, Sacramento, CA 95821-2130 | 2020-05-13 |
| 1053942888 | Eduardo Sevilla | Physician Assistant | 8129 Polo Crosse Ave, Sacramento, CA 95829-6546 | 2020-01-30 |
| 1316582695 | Lauren Hunter | Physician Assistant | 6600 Bruceville Rd Rm 1h5, Sacramento, CA 95823-4671 | 2019-11-11 |
| 1942841176 | Kimia Ighani | Physician Assistant | 3429 2nd Ave, Sacramento, CA 95817-2802 | 2019-09-29 |
| 1386290195 | Anthony Menacho | Physician Assistant | 2472 Larkspur Ln Apt 363, Sacramento, CA 95825-4153 | 2019-08-16 |
| 1891341178 | Ebtesam Gerges | Physician Assistant | 4411 4th Ave Apt B, Sacramento, CA 95817-3059 | 2019-08-13 |
| 1295392488 | Shea L Smith | Physician Assistant | 2570 48th St, Sacramento, CA 95817-1541 | 2019-05-22 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
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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.