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RODRIQUES DEMARIO SANTIL BRADLEY PA
NPI 1407557861
Physician Assistant in Los Angeles, CA

Active since March 13, 2023
1811 N WESTERN AVE, LOS ANGELES, CA 90027(323) 533-5626 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Rodriques Demario Santil Bradley Pa NPPES

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

RODRIQUES DEMARIO SANTIL BRADLEY PA (NPI 1407557861) is an individual physician assistant in Los Angeles, California, licensed in California (62466) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1407557861
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRODRIQUES DEMARIO SANTIL BRADLEYCredential: PA
Location Address1811 N WESTERN AVELos Angeles, CA 90027-3403
Mailing Address1811 N Western AveLos Angeles, CA 90027-3403 · (704) 616-7141
Phone(323) 533-5626
Sole ProprietorNo
Enumeration DateMarch 13, 2023
NPPES CertifiedMarch 13, 2023
✔ NPI 1407557861 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 · 62466
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.
1811 N WESTERN AVE, Los Angeles, CA 90027
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Other Names 1

Professional Name (2)Rodriques Demario Santil Bradley Pa

Other Providers at the Same Location NPPES 5

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

RUTH OYINKANSOLA OLUSOTO FNP
Nurse Practitioner
1811 N WESTERN AVE
LOS ANGELES, CA 90027
Los Angeles County (855) 783-2434
CHRISTINA PERSAUD
Pharmacist (Ambulatory Care)
1811 N WESTERN AVE
LOS ANGELES, CA 90027
Los Angeles County (855) 783-2434
SABA SADAT KHANSARI PA-C
Physician Assistant
1811 N WESTERN AVE
LOS ANGELES, CA 90027
Los Angeles County (855) 783-2434
FATIMA CASTILLO SARREAL
Physician Assistant
1811 N WESTERN AVE
LOS ANGELES, CA 90027
Los Angeles County (855) 783-2434
AIDS HEALTHCARE FOUNDATION
Clinic/Center
1811 N WESTERN AVE
LOS ANGELES, CA 90027
Los Angeles County (855) 783-2434

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 Rodriques Bradley's NPI number?

The NPI number for Rodriques Bradley is 1407557861. It was assigned to this individual provider in the NPPES registry on March 13, 2023. The provider is also known as Rodriques Demario Santil Bradley PA.

Where is Rodriques Bradley located?

Rodriques Bradley practices at 1811 N Western Ave, Los Angeles, CA 90027. The listed phone number is (323) 533-5626.

What is Rodriques Bradley'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 Rodriques Bradley was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.