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KHALIDA BRADFORD
NPI 1710236724
Counselor - Mental Health in Los Angeles, CA

Active since September 05, 2012PECOS Enrolled
8019 S. COMPTON AVE., LOS ANGELES, CA 90001(323) 583-7333 Get Directions Write a Review

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 7, 2021, Mar 15, 2017 (2 updates tracked since 2017).

About Khalida Bradford NPPES

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

KHALIDA BRADFORD (NPI 1710236724) is an individual mental health provider in Los Angeles, California, licensed in California (ACSW36348) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710236724
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKHALIDA BRADFORD
Location Address8019 S. COMPTON AVE.Los Angeles, CA 90001
Mailing Address5105 W. Goldleaf CircleLos Angeles, CA 90056 · (323) 298-3100
Phone(323) 583-7333
Sole ProprietorYes
Enumeration DateSeptember 5, 2012
Last NPPES UpdateDecember 7, 20212 updates tracked since enumeration
NPPES CertifiedDecember 7, 2021
✔ NPI 1710236724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · ACSW36348
8019 S. COMPTON AVE., Los Angeles, CA 90001
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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)

Khalida Bradford 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 20

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

ELIZABETH CHOONG HEE SHIN LCSW
Social Worker (Clinical)
8019 S. COMPTON AVE.
LOS ANGELES, CA 90001
Los Angeles County (323) 586-7333
DEBORAH LYNN CASH
Rehabilitation Practitioner
8019 S. COMPTON AVE.
LOS ANGELES, CA 90001
Los Angeles County (310) 436-6101
MS. JASMIN J PRUITT
Rehabilitation Practitioner
8019 S. COMPTON AVE.
LOS ANGELES, CA 90001
Los Angeles County (323) 586-7333
ERIC ANTHONY SAPRID
Social Worker (Clinical)
8019 S. COMPTON AVE.
LOS ANGELES, CA 90001
Los Angeles County (323) 586-7333
KYLA MARIE CHUNG
Rehabilitation Practitioner
8019 S. COMPTON AVE.
LOS ANGELES, CA 90001
Los Angeles County (323) 586-7333
MS. STEPHANIE M VELASQUEZ
Rehabilitation Practitioner
8019 S. COMPTON AVE.
LOS ANGELES, CA 90001
Los Angeles County (323) 586-7333
CHARISSE TENNANT
Rehabilitation Practitioner
8019 S. COMPTON AVE.
LOS ANGELES, CA 90001
Los Angeles County (323) 586-7333
MS. COURTNEY S ANTWINE
Rehabilitation Practitioner
8019 S. COMPTON AVE.
LOS ANGELES, CA 90001
Los Angeles County (323) 586-7333

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 Khalida Bradford's NPI number?

The NPI number for Khalida Bradford is 1710236724. It was assigned to this individual provider in the NPPES registry on September 5, 2012.

Where is Khalida Bradford located?

Khalida Bradford practices at 8019 S. Compton Ave., Los Angeles, CA 90001. The listed phone number is (323) 583-7333.

What is Khalida Bradford's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Khalida Bradford enrolled in Medicare?

Yes. Khalida Bradford is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Khalida Bradford was last updated on December 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.