Individual provider Active NPI

Bradley John Neddenriep, MD

  • Family Medicine Physician
  • Monterey Park, CA
National Provider Identifier
1821748310
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A191573 Issued in CA
Practice address
525 N Garfield Ave
Monterey Park, CA 91754-1202
Phone
(818) 839-5200
NPI assigned
Mar 27, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A191573 CA Primary

Addresses

Primary practice location

525 N Garfield Ave
Monterey Park, CA 91754-1202

Mailing address

1366 Brentwood Cir Unit C
Corona, CA 92882-7053
Phone (775) 267-7223

Other practice location 1

250 E Rincon St Ste 106
Corona, CA 92879-1363
Phone (951) 339-8459

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250616002570 CA Practitioner - Family PracticePractitioner - Hospitalist 2163933243 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Group of Montebello IncGroup PAC ID 2264715143, 55 clinicians
Im-FSR IncGroup PAC ID 6901035138, 28 clinicians
Apollomed Hospitalists a Medical CorporationGroup PAC ID 5991857708, 31 clinicians
Sunrise Medical Associates IncGroup PAC ID 3870805823, 12 clinicians

Practice addresses (Care Compare)

1701 Santa Anita Ave
S El Monte, CA 91733-3411
Phone (626) 579-7777

2701 S Bristol St
Santa Ana, CA 92704-6201
Phone (714) 754-5454

525 N Garfield Ave
Monterey Park, CA 91754-1202
Phone (818) 839-5200

800 S Main St
Corona, CA 92882-3420
Phone (951) 339-8459

Hospital & facility affiliations

  • Greater El Monte Community Hospital Hospital, South El Monte, CA, CCN 050738
  • Corona Regional Medical Center Hospital, Corona, CA, CCN 050329
  • Garfield Medical Center Hospital, Monterey Park, CA, CCN 050737
  • Monterey Park Hospital Hospital, Monterey Park, CA, CCN 050736
  • Keck Hospital of Usc Hospital, Los Angeles, CA, CCN 050696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A191573CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Astrana Care Hospitalists, a Medical Corporation CurrentSince Aug 1, 2025 Accepting new patients
Sunrise Medical Associates Inc CurrentSince May 1, 2025 Accepting new patients
Hospitalist Group of Montebello Inc CurrentSince May 1, 2025 Accepting new patients
Im-FSR Inc. CurrentSince Jun 1, 2025 Accepting new patients

Locations

1680 S Garfield Ave
Ste 204
Alhambra, CA 91801
Phone (818) 839-5100

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

250 E Rincon St
Ste 106
Corona, CA 92879
Phone (951) 339-8459

525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222

2701 S Bristol St
Santa Ana, CA 92704
Phone (714) 636-0342

1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916

Organizations & group practices 4

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1648339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1821748310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1366 BRENTWOOD CIR UNIT C",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928827053",
            "telephone_number": "775-267-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N GARFIELD AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541202",
            "telephone_number": "818-839-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 E Rincon St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928791363",
            "country_code": "US",
            "telephone_number": "951-339-8459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEDDENRIEP",
        "first_name": "BRADLEY",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-27",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A191573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.