Wesley G. Bradford, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G-30342 Issued in CA

Practice address

5122 Oconto Ave
Rancho Palos Verdes, CA 90275-3733

Phone

(310) 541-6686

NPI assigned

Jul 7, 2005

Last updated

Oct 19, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/45/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Los Angeles

  dba County of Los Angeles Harbor UCLA Medical Center

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1851363188
  Medicare reassignment NPD
• County of Los Angeles

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1295407401
  NPD
• Harbor-UCLA Medical Foundation, Inc

  • Specialist
  • Torrance, CA
  • NPI 1437253184
  NPD (past)
• Meridian Medical Group, P.C.

  dba Centinela Medical Center Clinics

  • Multi-Specialty Clinic/Center
  • Torrance, CA
  • NPI 1528000866
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287446400000",
    "number": "1821095654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5122 OCONTO AVE",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902753733",
            "telephone_number": "310-541-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5122 OCONTO AVE",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902753733",
            "telephone_number": "310-541-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "WESLEY",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2010-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G-30342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willie Benton Boone, M.D.
• Bernard Morton Borgida, M.D.
• Alyssa Borrilez, IBCLC
• Ann Marie Boss, CNM
• Heather Bowman, OD
• Sean Brennan
• Gayne M Brenneman, M.D.
• Julia Brown, RDN
• California Medical Supplies LLC
• Canaan Inc

• Family Medicine Physician in Rancho Palos Verdes, CA
• Providers in Rancho Palos Verdes, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.