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PROF. LISA LAVERNE BRADLEY PA-C
NPI 1427106764
Physician Assistant - Medical in Los Angeles, CA

Active since January 05, 2007PECOS Enrolled
3831 STOCKER ST, LOS ANGELES, CA 90008(323) 291-6234(323) 291-7953 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prof. Lisa Laverne Bradley Pa-c NPPES

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

PROF. LISA LAVERNE BRADLEY PA-C (NPI 1427106764) is an individual medical provider in Los Angeles, California, licensed in California (CA13997) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427106764
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NamePROF. LISA LAVERNE BRADLEYCredential: PA-C
Location Address3831 STOCKER STLos Angeles, CA 90008-5103
Mailing Address2823 E 7th St, Apt. 8Long Beach, CA 90804-4803 · (562) 225-0450 · Fax (323) 291-7953
Phone(323) 291-6234
Fax(323) 291-7953
Sole ProprietorNo
Enumeration DateJanuary 5, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1427106764 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 · CA13997
3831 STOCKER ST, Los Angeles, CA 90008
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prof. Lisa Laverne Bradley Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

FORUM MEDICAL GROUP
Orthopaedic Surgery
3831 STOCKER ST
LOS ANGELES, CA 90008
Los Angeles County (323) 291-6234

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 Lisa Bradley's NPI number?

The NPI number for Lisa Bradley is 1427106764. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Lisa Bradley located?

Lisa Bradley practices at 3831 Stocker St, Los Angeles, CA 90008. The listed phone number is (323) 291-6234.

What is Lisa Bradley's specialty?

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

Is Lisa Bradley enrolled in Medicare?

Yes. Lisa Bradley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Bradley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.