ELISE NICOLE BRADLEY MMS, PA-C
NPI 1609351048
Physician Assistant in San Diego, CA

Active since October 02, 2018
6195 LUSK BLVD STE 250, SAN DIEGO, CA 92121(858) 859-1188 Get Directions Write a Review

NPPES record last updated: September 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 21, 2025, Dec 12, 2022, Jan 14, 2020 and 1 more (4 updates tracked since 2018).

About Elise Nicole Bradley Mms, Pa-c NPPES

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

ELISE NICOLE BRADLEY MMS, PA-C (NPI 1609351048) is an individual physician assistant in San Diego, California and active in the NPI registry since October 2018. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1609351048
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELISE NICOLE BRADLEYCredential: MMS, PA-C
Location Address6195 LUSK BLVD STE 250San Diego, CA 92121-3715
Mailing Address6195 Lusk Blvd Ste 250San Diego, CA 92121-3715 · (858) 859-1188
Sole ProprietorYes
Enumeration DateOctober 2, 2018
Last NPPES UpdateSeptember 21, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2025
NPI 1609351048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.

6195 LUSK BLVD STE 250, San Diego, CA 92121

Secondary Practice Locations 2

Location 1380 Stevens AveSolana Beach, CA 92075-2063 · Phone (408) 729-4290
Location 25717 Pacific Center Blvd Ste 200San Diego, CA 92121-4250 · Phone (858) 859-1188

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
6195 LUSK BLVD STE 250
SAN DIEGO, CA 92121
Nurse Practitioner (Family)
6195 LUSK BLVD STE 250
SAN DIEGO, CA 92121
Nurse Practitioner (Family)
6195 LUSK BLVD STE 250
SAN DIEGO, CA 92121
Physician Assistant (Medical)
6195 LUSK BLVD STE 250
SAN DIEGO, CA 92121
Nurse Practitioner (Family)
6195 LUSK BLVD STE 250
SAN DIEGO, CA 92121
Physician Assistant (Medical)
6195 LUSK BLVD STE 250
SAN DIEGO, CA 92121
Nurse Practitioner (Family)
6195 LUSK BLVD STE 250
SAN DIEGO, CA 92121
Nurse Practitioner (Family)
6195 LUSK BLVD STE 250
SAN DIEGO, CA 92121

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 Elise Bradley's NPI number?

The NPI number for Elise Bradley is 1609351048. It was assigned to this individual provider in the NPPES registry on October 2, 2018.

Where is Elise Bradley located?

Elise Bradley practices at 6195 Lusk Blvd Ste 250, San Diego, CA 92121. The listed phone number is (858) 859-1188.

What is Elise 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 Elise Bradley was last updated on September 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.