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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

VICTORIA-DEVA BRADSHAW
NPI 1114805389
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since August 25, 2025
2251 SAN DIEGO AVE STE A150, SAN DIEGO, CA 92110(619) 232-6454 Get Directions Write a Review

NPPES record last updated: November 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 4, 2026, Jul 14, 2026 (2 updates tracked since 2026).

About Victoria-deva Bradshaw NPPES

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

VICTORIA-DEVA BRADSHAW (NPI 1114805389) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1114805389
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameVICTORIA-DEVA BRADSHAW
Location Address2251 SAN DIEGO AVE STE A150San Diego, CA 92110-2983
Mailing Address1664 BroadwayEl Cajon, CA 92021-5201
Phone(619) 232-6454
Sole ProprietorNo
Enumeration DateAugust 25, 2025
Last NPPES UpdateNovember 4, 20262 updates tracked since enumeration
NPPES CertifiedNovember 4, 2026
✔ NPI 1114805389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License APCC24383 (CA)
2251 SAN DIEGO AVE STE A150, San Diego, CA 92110
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

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

EMMANUEL JACOB MICKLUS PSS
Peer Specialist
2251 SAN DIEGO AVE STE A150
SAN DIEGO, CA 92110
San Diego County (619) 800-9856
JASON ANTHONY BLAIN BERG
Peer Specialist
2251 SAN DIEGO AVE STE A150
SAN DIEGO, CA 92110
San Diego County (619) 675-6008
UNION OF PAN ASIAN COMMUNITIES
Community/Behavioral Health
2251 SAN DIEGO AVE STE A150
SAN DIEGO, CA 92110
San Diego County (619) 455-2108

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 Victoria-deva Bradshaw's NPI number?

The NPI number for Victoria-deva Bradshaw is 1114805389. It was assigned to this individual provider in the NPPES registry on August 25, 2025.

Where is Victoria-deva Bradshaw located?

Victoria-deva Bradshaw practices at 2251 San Diego Ave Ste A150, San Diego, CA 92110. The listed phone number is (619) 232-6454.

What is Victoria-deva Bradshaw'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 Victoria-deva Bradshaw was last updated on November 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.