TONDA D BRADSHAW D O A PROFESSIONAL CORPORATION
NPI 1871777664
Clinic/Center - Primary Care in Yucaipa, CA
About Tonda D Bradshaw D O A Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TONDA D BRADSHAW D O A PROFESSIONAL CORPORATION (NPI 1871777664) is a healthcare organization registered as a primary care in Yucaipa, California and active in the NPI registry since December 2007. The organization lists Tonda D Bradshaw, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tonda D Bradshaw D O A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Tonda D Bradshaw D O A Professional Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Tonda D Bradshaw D O A Professional Corporation's NPI number?
The NPI number for Tonda D Bradshaw D O A Professional Corporation is 1871777664. It was assigned to this organization in the NPPES registry on December 28, 2007.
Where is Tonda D Bradshaw D O A Professional Corporation located?
Tonda D Bradshaw D O A Professional Corporation is located at 35237 Yucaipa Blvd, Yucaipa, CA 92399. The listed phone number is (909) 790-6200.
What is Tonda D Bradshaw D O A Professional Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Tonda D Bradshaw D O A Professional Corporation enrolled in Medicare?
Yes. Tonda D Bradshaw D O A Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tonda D Bradshaw D O A Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Tonda D Bradshaw D O A Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Tonda D Bradshaw D O A Professional Corporation was last updated on February 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Tonda D Bradshaw D O A Professional Corporation · NPI 1871777664
Primary Care organization in Yucaipa, California. Organization record, active in the CMS NPPES registry since December 28, 2007.
## Identity
- **NPI:** 1871777664 (Entity type: Organization)
- **Enumerated:** December 28, 2007
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Tonda Bradshaw, PRESIDENT
## Practice location
- **Address:** 35237 YUCAIPA BLVD, Yucaipa, CA 92399-4340
- **Phone:** (909) 790-6200 · **Fax:** (909) 790-6220
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 22, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1871777664) · Data from the CMS NPPES public registry.