Active NPI
John E Bradford, PSYD, LP
- Psychologist
- Corona, CA
National Provider Identifier
1083677561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 20587
- Practice address
- 4160 Temescal Canyon Rd Ste 205
Corona, CA 92883-4624 - Phone
- (858) 279-1223
- NPI assigned
- Apr 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 20587 | CA | Primary |
Addresses
Primary practice location
4160 Temescal Canyon Rd Ste 205
Corona, CA 92883-4624
Mailing address
4160 Temescal Canyon Rd Ste 205
Corona, CA 92883-4624
Phone (858) 279-1223
Other names 1
- John Bradford
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20587 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vericare of California Medical Group | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1083677561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4160 TEMESCAL CANYON RD STE 205",
"city": "CORONA",
"state": "CA",
"postal_code": "928834624",
"telephone_number": "858-279-1223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4160 TEMESCAL CANYON RD STE 205",
"city": "CORONA",
"state": "CA",
"postal_code": "928834624",
"telephone_number": "858-279-1223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADFORD",
"first_name": "JOHN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PSYD, LP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-07",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "20587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOHN",
"last_name": "BRADFORD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.