Active NPI
Sarah K Bradley
- Orthotist
- Chula Vista, CA
National Provider Identifier
1992313639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- CPO04434
- Practice address
- 895 3Rd Ave BLDG 2
Chula Vista, CA 91911-1304 - Phone
- (619) 585-8421
- NPI assigned
- Jul 20, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | CPO04434 | ||
| Orthotist | 222Z00000X | CPO04434 | Primary |
Addresses
Primary practice location
895 3Rd Ave BLDG 2
Chula Vista, CA 91911-1304
Mailing address
895 3Rd Ave BLDG 2
Chula Vista, CA 91911-1304
Phone (619) 585-8421
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595203200000",
"number": "1992313639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "895 3RD AVE BLDG 2",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919111304",
"telephone_number": "619-585-8421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "895 3RD AVE BLDG 2",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919111304",
"telephone_number": "619-585-8421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "SARAH",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-20",
"last_updated": "2020-07-20",
"certification_date": "2020-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": "CPO04434",
"primary": false
},
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": "CPO04434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.