Organization Active NPI

Bradley H Chesler M D a Professional Corporation

  • Physical Medicine & Rehabilitation Physician
  • Escondido, CA
National Provider Identifier
1427126572
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A43963 Issued in CA
Legal business name
BRADLEY H CHESLER M D A PROFESSIONAL CORPORATION
Practice address
1955 Citracado Pkwy Ste 203
Escondido, CA 92029-4112
Phone
(760) 738-5533
Fax
(760) 738-3835
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Authorized official

Name
Dr. Bradley Howard Chesler, M.D.
Title
President
Phone
(858) 673-9991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X A43963 CA Primary

Addresses

Primary practice location

1955 Citracado Pkwy Ste 203
Escondido, CA 92029-4112

Mailing address

1955 Citracado Pkwy Ste 203
Escondido, CA 92029-4112
Phone (760) 738-5533

Other identifiers 5

IdentifierTypeStateIssuer
00A439631MedicaidCA
1505013OtherCABLUE CROSS
00A439630MedicaidCA
125649400OtherCAU.S. DEPARTMENT OF LABOR
BC457AOtherMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

488 E Valley Pkwy
Ste 212
Escondido, CA 92025
Phone (858) 673-9991

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1427126572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 CITRACADO PKWY STE 203",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920294112",
            "telephone_number": "760-738-5533",
            "fax_number": "760-738-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 CITRACADO PKWY STE 203",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920294112",
            "telephone_number": "760-738-5533",
            "fax_number": "760-738-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY H CHESLER M D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "CHESLER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-673-9991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A43963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A439631",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1505013",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A439630",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U.S. DEPARTMENT OF LABOR",
            "identifier": "125649400",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BC457A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.