Active NPI
Cynthia Ann Bradford, LMFT
- Marriage & Family Therapist
- Rio Vista, CA
National Provider Identifier
1700031069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 112991
- Practice address
- 628 Montezuma St
Rio Vista, CA 94571-1622 - Phone
- (707) 374-5243
- NPI assigned
- Nov 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | LMFT112991 | CA | |
| Marriage & Family Therapist | 106H00000X | 112991 | CA | Primary |
Addresses
Primary practice location
628 Montezuma St
Rio Vista, CA 94571-1622
Mailing address
30 N 6TH St
Rio Vista, CA 94571-1637
Phone (707) 359-9980
Other practice location 1
8 N 5th St
Rio Vista, CA 94571-1633
Phone (707) 474-8453
Other names 1
- Ms. Cynthia A Bradford-Padilla
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT112991 | CA | MD | Mental Health Counselor |
| 112991 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1700031069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 N 6TH ST",
"city": "RIO VISTA",
"state": "CA",
"postal_code": "945711637",
"telephone_number": "707-359-9980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "628 MONTEZUMA ST",
"city": "RIO VISTA",
"state": "CA",
"postal_code": "945711622",
"telephone_number": "707-374-5243"
}
],
"practiceLocations": [
{
"address_1": "8 N 5th St",
"address_purpose": "LOCATION",
"city": "Rio Vista",
"state": "CA",
"postal_code": "945711633",
"country_code": "US",
"telephone_number": "707-474-8453",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRADFORD",
"first_name": "CYNTHIA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-28",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LMFT112991",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "112991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CYNTHIA",
"last_name": "BRADFORD-PADILLA",
"middle_name": "A",
"prefix": "MS.",
"credential": "IMFT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rio Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.