Individual provider Active NPI

Bradley Najac

  • Physician Assistant
  • Fountain Valley, CA
National Provider Identifier
1265804132
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
11190 Warner Ave Ste 300
Fountain Valley, CA 92708-4045
Phone
(714) 241-7000
Fax
(714) 241-7003
NPI assigned
Oct 30, 2015
Last updated
Oct 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

11190 Warner Ave Ste 300
Fountain Valley, CA 92708-4045

Mailing address

16211 Downey Ave Unit 113
Paramount, CA 90723-5588
Phone (484) 364-0597

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210513001396 CA Practitioner - Physician Assistant 7214346709 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthowest CurrentSince Jul 28, 2021 Accepting new patients
Orthowest Physician Assistant CurrentSince Jul 28, 2021 Accepting new patients
Healing Edge Medical Group - Ca CurrentSince Dec 9, 2025 Accepting new patients
New Hope Podiatry Group Inc. PastSince Dec 29, 2024 Accepting new patients

Locations

100 E Huntington Dr
Ste 203
Alhambra, CA 91801

11190 Warner Ave
Ste 300
Fountain Vly, CA 92708
Phone (714) 241-7000

22 Odyssey
Ste 205
Irvine, CA 92618
Phone (949) 870-3332

24331 El Toro Rd
Ste 200
Laguna Woods, CA 92637
Phone (949) 767-0800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1265804132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16211 DOWNEY AVE UNIT 113",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235588",
            "telephone_number": "484-364-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11190 WARNER AVE STE 300",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084045",
            "telephone_number": "714-241-7000",
            "fax_number": "714-241-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAJAC",
        "first_name": "BRADLEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-30",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.