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JONATHAN BRADLEY
NPI 1104796481
Student in an Organized Health Care Education/Training Program in Corcoran, CA

Active since November 11, 2025
4001 KING AVE, CORCORAN, CA 93212(559) 992-8800 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jonathan Bradley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN BRADLEY (NPI 1104796481) is an individual student in an organized health care education/training program in Corcoran, California and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1104796481
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJONATHAN BRADLEY
Location Address4001 KING AVECorcoran, CA 93212-9611
Mailing Address1201 2nd StWasco, CA 93280-1310 · (661) 910-6662
Phone(559) 992-8800
Sole ProprietorNo
Enumeration DateNovember 11, 2025
NPPES CertifiedNovember 11, 2025
✔ NPI 1104796481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4001 KING AVE, Corcoran, CA 93212
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HELEN ANN BECICH PH.D.
Psychologist (Clinical)
4001 KING AVE
CORCORAN, CA 93212
Kings County (559) 992-8800
DR. SEAN OTTO KANE PHARM.D.
Pharmacist
4001 KING AVE
CORCORAN, CA 93212
Kings County (559) 685-2505
DR. IRV M WILBUR DDS
Dentist
4001 KING AVE
CORCORAN, CA 93212
Kings County (559) 992-8800
DENISE OLIVARES
Student in an Organized Health Care Education/Training Program
4001 KING AVE
CORCORAN, CA 93212
Kings County (559) 992-8800
DR. KIRK MUNO GERSTEL DDS
Dentist (General Practice)
4001 KING AVE
CORCORAN, CA 93212
Kings County (559) 992-8800
DR. BARRY CHONG PH.D.
Psychologist (Forensic)
4001 KING AVE
CORCORAN, CA 93212
Kings County (559) 992-8800
SUNG YEON KIM PHARMD
Pharmacist
4001 KING AVE
CORCORAN, CA 93212
Kings County (559) 992-8800
JENNY MARIE TURNER LCSW
Social Worker (Clinical)
4001 KING AVE
CORCORAN, CA 93212
Kings County (559) 500-3198

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Bradley's NPI number?

The NPI number for Jonathan Bradley is 1104796481. It was assigned to this individual provider in the NPPES registry on November 11, 2025.

Where is Jonathan Bradley located?

Jonathan Bradley practices at 4001 King Ave, Corcoran, CA 93212. The listed phone number is (559) 992-8800.

What is Jonathan Bradley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jonathan Bradley was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.