DR. BRADFORD J. STAPH DDS
NPI 1780891630
Dentist - General Practice in San Juan Capistrano, CA

Q: What is Bradford Staph's NPI number?

The NPI number for Bradford Staph is 1780891630. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Q: What is Bradford Staph's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Bradford Staph 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.

Active since May 17, 2007PECOS Enrolled

30210 RANCHO VIEJO RD, SUITE B, SAN JUAN CAPISTRANO, CA 92675(949) 493-8118 Get Directions Write a Review

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

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About Dr. Bradford J. Staph Dds NPPES

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

DR. BRADFORD J. STAPH DDS (NPI 1780891630) is an individual general practice provider in San Juan Capistrano, California, licensed in California (30414) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780891630

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. BRADFORD J. STAPHCredential: DDS

Location Address30210 RANCHO VIEJO RD, SUITE BSan Juan Capistrano, CA 92675-1574

Mailing Address30210 Rancho Viejo Rd, Suite BSan Juan Capistrano, CA 92675-1574 · (949) 493-8118

Phone(949) 493-8118

Sole ProprietorYes

Enumeration DateMay 17, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1780891630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 30414

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

30210 RANCHO VIEJO RD, San Juan Capistrano, CA 92675

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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)

Dr. Bradford J. Staph Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92675 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

MRS. COLLEEN MARIE BACON NP

Nurse Practitioner (Family)

30210 RANCHO VIEJO RD
SAN JUAN CAPISTRANO, CA 92675

Orange County (949) 493-7337

DOROTHY A TAGAN RN CPNP

Nurse Practitioner (Pediatrics)

30210 RANCHO VIEJO RD, SUITE A
SAN JUAN CAPISTRANO, CA 92675

Orange County (949) 493-7337

JOHN H CARRUTH MD

Pediatrics

30210 RANCHO VIEJO RD, SUITE A
SAN JUAN CAPISTRANO, CA 92675

Orange County (949) 493-7337

TLC PEDIATRICS MEDICAL GROUP

Specialist

30210 RANCHO VIEJO RD, SUITE A
SAN JUAN CAPISTRANO, CA 92675

Orange County (949) 493-7337

MS. JEANNE MARIE MCENTIRE NP

Nurse Practitioner (Pediatrics)

30210 RANCHO VIEJO RD
SAN JUAN CAPISTRANO, CA 92675

Orange County (949) 493-7337

LYDIA A CHAPELSKY MD

Pediatrics

30210 RANCHO VIEJO RD, SUITE A
SAN JUAN CAPISTRANO, CA 92675

Orange County (949) 493-7337

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 Bradford Staph's NPI number?

The NPI number for Bradford Staph is 1780891630. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Bradford Staph located?

Bradford Staph practices at 30210 Rancho Viejo Rd Suite B, San Juan Capistrano, CA 92675. The listed phone number is (949) 493-8118.

What is Bradford Staph's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Bradford Staph enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Bradford Staph 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.