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MRS. KATHERINE F BRADSHAW-SMITH PHYSICIAN ASST CERT
NPI 1235214602
Physician Assistant - Medical in Poway, CA

Active since October 26, 2006
15721 POMERADO ROAD, POWAY, CA 92064(858) 673-0653(858) 485-0371 Get Directions Write a Review

NPPES record last updated: July 21, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Katherine F Bradshaw-smith Physician Asst Cert NPPES

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

MRS. KATHERINE F BRADSHAW-SMITH PHYSICIAN ASST CERT (NPI 1235214602) is an individual medical provider in Poway, California, licensed in California (PA11292) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1235214602
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. KATHERINE F BRADSHAW-SMITHCredential: PHYSICIAN ASST CERT
Location Address15721 POMERADO ROADPoway, CA 92064
Mailing Address15721 Pomerado RoadPoway, CA 92064 · (858) 673-0653 · Fax (858) 485-0371
Phone(858) 673-0653
Fax(858) 485-0371
Sole ProprietorNo
Enumeration DateOctober 26, 2006
Last NPPES UpdateJuly 21, 2010
✔ NPI 1235214602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA11292
15721 POMERADO ROAD, Poway, CA 92064
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Other Identifiers 2

Medicare UPINWPA71292A
Medicare ID-Type UnspecifiedW14118B

Other Providers at the Same Location NPPES 2

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

MR. LARRY T KONZEN
Internal Medicine
15721 POMERADO ROAD
POWAY, CA 92064
San Diego County (858) 485-6644
ALAN JOHN CONRAD MD
Hospitalist
15721 POMERADO ROAD
POWAY, CA 92064
San Diego County (858) 485-6644

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 Katherine Bradshaw-smith's NPI number?

The NPI number for Katherine Bradshaw-smith is 1235214602. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Katherine Bradshaw-smith located?

Katherine Bradshaw-smith practices at 15721 Pomerado Road, Poway, CA 92064. The listed phone number is (858) 673-0653.

What is Katherine Bradshaw-smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Katherine Bradshaw-smith was last updated on July 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.