1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Counselor
  6. NPI Profile

KENDALL ASHTON BRADFORD
NPI 1992377360
Counselor - Mental Health in Los Angeles, CA

Active since July 14, 2021PECOS Enrolled
8725 S SAN PEDRO ST, LOS ANGELES, CA 90003(443) 996-1989 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 20, 2026, Feb 10, 2022, Jul 14, 2021 (3 updates tracked since 2021).

About Kendall Ashton Bradford NPPES

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

KENDALL ASHTON BRADFORD (NPI 1992377360) is an individual mental health provider in Los Angeles, California, licensed in California (104833) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1992377360
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKENDALL ASHTON BRADFORD
Location Address8725 S SAN PEDRO STLos Angeles, CA 90003-3538
Mailing Address8725 S San Pedro StLos Angeles, CA 90003-3538 · (443) 996-1989
Phone(443) 996-1989
Sole ProprietorNo
Enumeration DateJuly 14, 2021
Last NPPES UpdateJanuary 20, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1992377360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 104833
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 32026 (MD)
8725 S SAN PEDRO ST, Los Angeles, CA 90003
Open in Google Maps ↗

Secondary Practice Location 1

Location 12437 Jefferson StBaltimore, MD 21205-2543 · Phone (323) 433-6548

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendall Ashton 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

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

OPTIMUM WELLNESS THERAPY
Social Worker (Clinical)
8725 S SAN PEDRO ST
LOS ANGELES, CA 90003
Los Angeles County (443) 996-1989

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 Kendall Bradford's NPI number?

The NPI number for Kendall Bradford is 1992377360. It was assigned to this individual provider in the NPPES registry on July 14, 2021.

Where is Kendall Bradford located?

Kendall Bradford practices at 8725 S San Pedro St, Los Angeles, CA 90003. The listed phone number is (443) 996-1989.

What is Kendall Bradford's specialty?

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

Is Kendall Bradford enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kendall Bradford was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.