Active NPI
Roshawnda Latrice Bradford
- Counselor
- San Leandro, CA
National Provider Identifier
1326531260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 3081 Teagarden St
San Leandro, CA 94577-5720 - Phone
- (510) 347-4620
- Fax
- (510) 483-4486
- NPI assigned
- Jun 13, 2018
- Last updated
- Jun 13, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
3081 Teagarden St
San Leandro, CA 94577-5720
Mailing address
PO Box 6651
Albany, CA 94706-0651
Phone (510) 978-5116
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528848000000",
"number": "1326531260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6651",
"city": "ALBANY",
"state": "CA",
"postal_code": "947060651",
"telephone_number": "510-978-5116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3081 TEAGARDEN ST",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945775720",
"telephone_number": "510-347-4620",
"fax_number": "510-483-4486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADFORD",
"first_name": "ROSHAWNDA",
"middle_name": "LATRICE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-13",
"last_updated": "2018-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.