Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELISE NICOLE BRADLEY, MMS, PA-C
Active Sole ProprietorELISE NICOLE BRADLEY, MMS, PA-C is a Physician Assistant healthcare provider located in SAN DIEGO, California. NPI 1609351048 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SAN DIEGO, CA
Registration Details
- NPI Number
- 1609351048
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 2, 2018 (7.850329683773 yrs)
- Last Updated
- Sep 21, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
6195 LUSK BLVD STE 250SAN DIEGO, CA, 921213715Browse CA providers · Browse ZIP 92121
- Phone
- 8588591188
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| MR. ROBERT KIERNAN | P.A. | 1538164702 |
| EMILY CHRISTINE RALL | PA-C | 1407855828 |
| NATHALIE CALLAHAN EGAN | P.A. | 1770583262 |
| MR. JEREMY ANDREW ADLER | PA-C | 1538154786 |
| MICHAEL J. NELMS | PA-C | 1235113580 |
| MR. PATRICK MICHAEL HARE | PA-C | 1427033216 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.