Kelsey Guevara Bridger
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Colton, CA
NPI 1386490233 · NPPES record last updated Aug 5, 2026
Key facts
- NPI
- 1386490233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 400 N Pepper Ave
Colton, CA 92324-1819 - Phone
- (909) 580-1775
- NPI assigned
- Apr 30, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern California Permanente Medical Group
San Bernardino Medical Orthopaedic Group Inc
Practice addresses (Care Compare)
10800 Magnolia Ave
Riverside, CA 92505-3043
Phone (951) 353-2000
1901 W Lugonia Ave
Redlands, CA 92374-9703
Phone (909) 557-1600
400 N Pepper Ave
Arrowhead
Colton, CA 92324-1801
Phone (909) 580-3390
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241030002367 | CA | Practitioner - Physician Assistant | 0840723797 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Bernardino Medical Orthopaedic Group, Inc. | Current |
Accepting new patients | |
| San Bernardino Medical Orthopaedic Group, Inc. | Current |
Accepting new patients |
Locations
400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800
400 N Pepper Ave
#205
Colton, CA 92324
Phone (909) 331-9598
1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810
1801 Orange Tree Ln
Ste 200
Redlands, CA 92374
Phone (909) 557-1607
1901 W Lugonia Ave
Ste 310
Redlands, CA 92374
Phone (909) 793-2964
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
400 N Pepper Ave
Colton, CA 92324-1819
Mailing address
400 N Pepper Ave # 205
Colton, CA 92324-1819
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) |
Other providers in Colton, CA
- Theresa Christine Brandon
- Preciosa M Brandow
- Breaking Barriers Insititute LLC
- Barbara Ellen Bresolin
- Maria Elena Bretado
- Brighton Ventures
- Loida Lida Brinckhaus
- Robert Brinkley
- Darren Brock
- Brotherhood Pharmacy Inc
All providers in Colton, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.