| Bradley A. Eli Dental Corporation | |
|
2095 W Vista Way Ste 218 Vista CA 92083-6029 | |
| (760) 436-6365 | |
| (760) 436-5123 |
| Full Name | Bradley A. Eli Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 2095 W Vista Way Ste 218, Vista, California |
| Authorized Official Name and Position | Bradley Allen Eli (PRESIDENT) |
| Authorized Official Contact | 7604364062 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley A. Eli Dental Corporation 2095 W Vista Way Ste 218 Vista CA 92083-6029 Ph: (760) 436-6365 | Bradley A. Eli Dental Corporation 2095 W Vista Way Ste 218 Vista CA 92083-6029 Ph: (760) 436-6365 |
| NPI Number | 1962533919 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 05/11/2026 |
| Medicare PECOS PAC ID | 1557682804 |
|---|---|
| Medicare Enrollment ID | O20150611001901 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962533919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X2210X | Dentist - Orofacial Pain | (* (Not Available)) | Primary |
| 125Q00000X | Oral Medicinist | (* (Not Available)) | Secondary |
| Provider Name | Bradley A Eli |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1205948270 PECOS PAC ID: 4587718952 Enrollment ID: I20090819000640 |
| Provider Name | Bryan M Kim |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1962893255 PECOS PAC ID: 2668723289 Enrollment ID: I20180920002706 |
| Provider Name | Sachi Aria Mehrotra |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1093356016 PECOS PAC ID: 5092118638 Enrollment ID: I20210816001802 |
| Provider Name | Savitha Siddappa |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1689737512 PECOS PAC ID: 3274831433 Enrollment ID: I20250113002859 |
| Provider Name | Suzan Sabagh |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1649440595 PECOS PAC ID: 1557899879 Enrollment ID: I20250114001153 |
| Provider Name | Harveen Singh Radia |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1104033604 PECOS PAC ID: 9931639689 Enrollment ID: I20250210003179 |
Brian Mudd Dds Pdc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3211 Business Park Dr, Suite A, Vista, CA 92081 Phone: 760-727-5613 Fax: 760-727-4225 | |
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Dental Care Management, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3211 Business Park Dr Ste A, Vista, CA 92081 Phone: 760-727-6800 Fax: 760-727-4225 | |
Guobin He Dds Vista Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1580 S Melrose Dr Ste 112, Vista, CA 92081 Phone: 760-727-1089 | |
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Christopher Henninger D M D Inc Dental Clinic Medicare: Medicare Enrolled Practice Location: 1934 Via Ctr, Ste A, Vista, CA 92081 Phone: 760-940-2273 |