Daniel John Bradford, MD | |
7000 Boulder Ave, Highland, CA 92346-3348 | |
(909) 862-1191 | |
Not Available |
Full Name | Daniel John Bradford |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 7000 Boulder Ave, Highland, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528123254 | NPI | - | NPPES |
00A0241552 | Other | HI | HMSA |
BS374Z | Medicaid | CA | |
53792001 | Medicaid | HI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | HI12415 (Hawaii) | Secondary |
207Q00000X | Family Medicine | G60671 (California) | Primary |
Entity Name | Hometown Health Management Company |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861445892 PECOS PAC ID: 0244139798 Enrollment ID: O20040105000431 |
Entity Name | Community Care Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720031768 PECOS PAC ID: 1951324318 Enrollment ID: O20060111000900 |
Mailing Address | Practice Location Address |
---|---|
Daniel John Bradford, MD Po Box 10069, San Bernardino, CA 92423-0069 Ph: (909) 335-4188 | Daniel John Bradford, MD 7000 Boulder Ave, Highland, CA 92346-3348 Ph: (909) 862-1191 |
Raymond Sedgh, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 | |
Paul P Pham, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 Fax: 909-796-4158 | |
Steve C Na, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 Fax: 909-796-4158 | |
Anh The Nong, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 Fax: 909-796-4158 | |
Hao Ngoc Thai, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 27843 Rainbow Ln, Highland, CA 92346 Phone: 909-838-7061 | |
Dr. Audrey Chu Yun, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 Fax: 909-796-4158 | |
Philip W Lee, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 Fax: 909-796-4158 |