BRADLEY A. ELI DENTAL CORPORATION
NPI 1962533919
Dentist - Orofacial Pain in Vista, CA

Q: What is Bradley A. Eli Dental Corporation's NPI number?

The NPI number for Bradley A. Eli Dental Corporation is 1962533919. It was assigned to this organization in the NPPES registry on March 8, 2007.

Q: What is Bradley A. Eli Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

Active since March 08, 2007

2095 W VISTA WAY STE 218, VISTA, CA 92083(760) 436-6365(760) 436-5123 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 11, 2026, Oct 9, 2019 (2 updates tracked since 2019).

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About Bradley A. Eli Dental Corporation NPPES

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

BRADLEY A. ELI DENTAL CORPORATION (NPI 1962533919) is a healthcare organization registered as an orofacial pain in Vista, California and active in the NPI registry since March 2007. The organization maintains 2 additional practice locations and lists Bradley Allen Eli, President, as its authorized official.

NPPES Registry Identity

NPI1962533919

Entity TypeOrganization

Primary Taxonomy1223X2210X

Legal Business NameBRADLEY A. ELI DENTAL CORPORATION

Location Address2095 W VISTA WAY STE 218Vista, CA 92083-6029

Mailing Address2095 W Vista Way Ste 218Vista, CA 92083-6029 · (760) 436-6365 · Fax (760) 436-5123

Phone(760) 436-6365

Fax(760) 436-5123

Organization SubpartNo

Authorized OfficialBradley Allen EliPresident · (760) 436-4062

Enumeration DateMarch 8, 2007

Last NPPES UpdateMay 11, 20262 updates tracked since enumeration

NPPES CertifiedMay 11, 2026

✔ NPI 1962533919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Orofacial PainDental Providers

Taxonomy Code1223X2210X

Definition

A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.

Also ListedOral MedicineTaxonomy 125Q00000X

2095 W VISTA WAY STE 218, Vista, CA 92083

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Secondary Practice Locations 2

Location 15830 Oberlin Dr Ste 202San Diego, CA 92121-3754 · Phone (760) 436-6365 · Fax (760) 436-5123

Location 211980 San Vicente Blvd Ste 814Los Angeles, CA 90049-6606 · Phone (760) 436-6365 · Fax (760) 436-5123

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bradley A. Eli Dental Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Bradley A. Eli Dental Corporation, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Bradley Eli, DMD, MS

Oral Surgery

NPI 1205948270

2095 W VISTA WAY STE 218
Vista, CA 92083

(760) 436-6365

✔ PECOS✔ Accepts MedicareSame address

Graham Harris, DDS

Dentist

NPI 1912487265

2095 W VISTA WAY STE 218
Vista, CA 92083

(760) 436-6365

✔ PECOS✔ Accepts MedicareSame address

Sachi Mehrotra, DDS

Dentist

NPI 1093356016

5830 OBERLIN DR STE 202
San Diego, CA 92121

(760) 436-6365

✔ PECOS✔ Accepts Medicare21 mi

Suzan Sabagh, DDS

Dentist

NPI 1649440595

11980 SAN VICENTE BLVD STE 814
Los Angeles, CA 90049

(760) 436-6365

✔ PECOS91 mi

Savitha Siddappa, DMD

Oral Surgery

NPI 1689737512

355 E. AVENIDA DE LOS ARBOLES SUITE A
Thousand Oaks, CA 91360

(805) 241-5353

✔ PECOS✔ Accepts Medicare116 mi

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 Bradley A. Eli Dental Corporation's NPI number?

The NPI number for Bradley A. Eli Dental Corporation is 1962533919. It was assigned to this organization in the NPPES registry on March 8, 2007.

Where is Bradley A. Eli Dental Corporation located?

Bradley A. Eli Dental Corporation is located at 2095 W Vista Way Ste 218, Vista, CA 92083. The listed phone number is (760) 436-6365.

What is Bradley A. Eli Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

Is Bradley A. Eli Dental Corporation enrolled in Medicare?

Yes. Bradley A. Eli Dental Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bradley A. Eli Dental Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Bradley A. Eli Dental 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. The largest specialties are Dentist (3) and Oral Surgery (2). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bradley A. Eli Dental Corporation was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.