Active NPI
David A. Bradley, O.D.
- Optometrist
- Yuba City, CA
National Provider Identifier
1275504391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7747T
- Practice address
- 1160 Live Oak Blvd
Yuba City, CA 95991-3407 - Phone
- (530) 673-8440
- Fax
- (530) 673-0177
- NPI assigned
- Jan 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 7747T | CA | Primary |
Addresses
Primary practice location
1160 Live Oak Blvd
Yuba City, CA 95991-3407
Mailing address
1160 Live Oak Blvd
Yuba City, CA 95991-3407
Phone (530) 673-8440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0077470 | Medicaid | CA |
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: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1160 Live Oak Blvd
Yuba City, CA 95991-3407
Phone (530) 673-8440
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7747T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RX Now Inc | Current | Accepting new patients | |
| Bradley Optometry Inc | Optometrist | Current | Accepting new patients |
Locations
1160 Live Oak Blvd
Yuba City, CA 95991
Phone (530) 673-8440
Organizations & group practices 2
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.
-
- Optometrist
- Yuba City, CA
- NPI 1669805362
-
dba Hacienda Heights Pharmacy
- Community/Retail Pharmacy
- Hacienda Heights, CA
- NPI 1164543625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397779200000",
"number": "1275504391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 LIVE OAK BLVD",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959913407",
"telephone_number": "530-673-8440",
"fax_number": "530-673-0177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 LIVE OAK BLVD",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959913407",
"telephone_number": "530-673-8440",
"fax_number": "530-673-0177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "DAVID",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2014-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "7747T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0077470",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yuba City, CA
- Kiara Rose Bracy
- Braden Partners LP (Pacific Pulmonary Services)
- Susan Bradfield, MENTAL HEALTH WORKER
- Rusti Lynn Bradford
- Bradley Optometry Inc
- Kristen Marie Bradley, R.D.
- Steven Ed Bradley, 13762
- Stuart Carter Bradley, PT, DTP
- Brain@Work LLC (Brain@Work Neurofeedback)
- Jennifer Eileen Bramer, TRAINEE MFT/PCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.