MRS. BRENITTA GILLIAM-UDO PA-C
NPI 1336396548
Physician Assistant in San Bernardino, CA

Active since August 20, 2008
351 N MOUNTAIN VIEW AVE, SAN BERNARDINO, CA 92415(714) 748-8955 Get Directions Write a Review

NPPES record last updated: August 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Brenitta Gilliam-udo Pa-c NPPES

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

MRS. BRENITTA GILLIAM-UDO PA-C (NPI 1336396548) is an individual physician assistant in San Bernardino, California, licensed in California (15518) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1336396548
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. BRENITTA GILLIAM-UDOCredential: PA-C
Location Address351 N MOUNTAIN VIEW AVESan Bernardino, CA 92415-1018
Mailing Address25064 Barton RdLoma Linda, CA 92354-2830 · (909) 569-3576
Sole ProprietorNo
Enumeration DateAugust 20, 2008
NPI 1336396548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · 15518
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
351 N MOUNTAIN VIEW AVE, San Bernardino, CA 92415

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 Brenitta Gilliam-udo's NPI number?

The NPI number for Brenitta Gilliam-udo is 1336396548. It was assigned to this individual provider in the NPPES registry on August 20, 2008.

Where is Brenitta Gilliam-udo located?

Brenitta Gilliam-udo practices at 351 N Mountain View Ave, San Bernardino, CA 92415. The listed phone number is (714) 748-8955.

What is Brenitta Gilliam-udo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Brenitta Gilliam-udo was last updated on August 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.