Sicily A Bradley, M.D.
Individual provider Active NPI Internal Medicine Physician · Loma Linda, CA
NPI 1619267366 · NPPES record last updated Jan 19, 2022
Key facts
- NPI
- 1619267366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A129501 (CA)
- Practice address
- 11234 Anderson St
Loma Linda, CA 92354-2804 - Phone
- (909) 558-4000
- NPI assigned
- Apr 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 14
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Queens University Medical Group
Practice addresses (Care Compare)
91 -2135 Fort Weaver Rd
Suite 150
Ewa Beach, HI 96706-1929
Phone (808) 691-3020
Hospital & facility affiliations
- The Queens Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140825000781 | CA | Practitioner - Internal Medicine |
6507084167 | Reassigns benefits to 4 organizations |
| I20240509004094 | HI | Practitioner - Hospitalist | 6507084167 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A129501 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current |
Accepting new patients | |
| Galen Inpatient Physicians, PC | Internal Medicine | Current |
Accepting new patients |
| Permanente Medical Group, Inc | Current |
Accepting new patients | |
| Permanente Medical Group Inc | Internal Medicine | Current |
Accepting new patients |
| Queens University Medical Group | Current |
Accepting new patients | |
| Galen Inpatient Physicians, PC | Current | Accepting new patients | |
| Galen Inpatient Physicians PC | Current |
Accepting new patients | |
| Amplehealth | Internal Medicine | Current |
Accepting new patients |
| Permanente Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| 1125 Sir Francis Drake Boulevard Operating Company, LLC | Current |
Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current |
Accepting new patients | |
| The Queen'S Medical Center | Past | Accepting new patients | |
| The Queens Medical Center | Past | Accepting new patients |
Locations (25 of 32)
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830
6620 Coyle Ave
Ste 202
Carmichael, CA 95608
Phone (916) 961-3434
6620 Coyle Ave
Ste 302
Carmichael, CA 95608
Phone (916) 966-8500
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550
1900 Dresden Dr
Lincoln, CA 95648
Phone (916) 543-5153
11234 Anderson St
#A600
Loma Linda, CA 92350
Phone (909) 558-2824
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
726 4th St
Marysville, CA 95901
Phone (530) 491-9491
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1800 Harrison St
Fl 7
Oakland, CA 94612
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
3270 Arena Blvd
Ste 405
Sacramento, CA 95834
Phone (916) 418-4595
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
901 San Bernardino Rd
Ste 104
Upland, CA 91786
Phone (909) 542-2779
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A129501 | CA | Yes |
Addresses
Primary practice location
11234 Anderson St
Loma Linda, CA 92354-2804
Mailing address
11234 Anderson St
Loma Linda, CA 92354-2804
Phone (909) 558-4000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) |
Other providers in Loma Linda, CA
- Ian Boyle
- Lorena Boyzo
- Alicea Boza
- Grecia Luna Bradley
- Karen Bradley
- Vicki Ann Bradley
- William Joseph Bradley
- Charisse Adrienne Brandon
- Karen R Brandon
- Murray E Brandstater
All providers in Loma Linda, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2022. 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.