Tonda D Bradshaw (NPI# 1760574123, PAC ID# 3678486651) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1760574123 |
| PAC ID by PECOS | 3678486651 |
| Professional Enrollment ID | I20050714000692 |
| Full Name | Tonda D Bradshaw |
| Address |
35237 Yucaipa Blvd Yucaipa CA 92399-4340 |
| Gender | F |
| Credential | DO |
| Medical School | COLLEGE OF OSTEO OF THE PACIFIC |
| Graduation Year | 1991 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050272 | REDLANDS COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 35237 Yucaipa Blvd, Yucaipa, CA 92399-4340 |
| Street Address |
35237 YUCAIPA BLVD |
| City | YUCAIPA |
| State | CA |
| Zip | 92399-4340 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan H Lee | Physical Therapy | Adorador Enterprises | 32819 Yucaipa Blvd C, Yucaipa, CA 92399-1944 |
| Travis Cruz | Physician Assistant | Southern California Emergency Medicine | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 |
| Kevin Morris | Physician Assistant | Southern California Emergency Medicine | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 |
| Nicholas M Walther | Physician Assistant | Southern California Emergency Medicine | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 |
| Anthony M Pinner | Physician Assistant | Southern California Emergency Medicine | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 |
| Lesley Laird | Physician Assistant | Southern California Emergency Medicine | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 |
| Christie Smirl | Nurse Practitioner | Southern California Emergency Medicine | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 |
| Alfonso Becerra Jr. | Physician Assistant | Southern California Emergency Medicine | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 |
| Stacey Aileen Pollom | Nurse Practitioner | Southern California Emergency Medicine | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 |
| William C Inciso | Physician Assistant | Southern California Emergency Medicine | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 |
| Find all physicians in zip 92399 | |||
| City | YUCAIPA |
| Zip Code | 92399 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | YUCAIPA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Tonda D Bradshaw.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.