ELISE NICOLE BRADLEY (MMS, PA-C) – Physician Assistant, NPI 1609351048

ELISE NICOLE BRADLEY (MMS, PA-C) is a healthcare provider. based in San diego, California. specializing in Physician Assistant. They hold the professional credentials MMS, PA-C. The NPI Number for ELISE NICOLE BRADLEY (MMS, PA-C) is 1609351048

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
ELISE NICOLE BRADLEY (MMS, PA-C)
NPI
1609351048
Phone
(858) 859-1188
Address
5717 Pacific Center Blvd Ste 200
Enumeration Date
2 October 2018
Last Update Date
21 September 2025

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Secondary Phone
6195027300
Graduation Year
2018 (8 years ago)
PAC ID
4486992237
Group Practice PAC ID
9234033853
Professional Enrollment ID
I20190220002848
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness85
Years active:7State licenses:0Digital endpointsOther names

Provider Addresses for ELISE NICOLE BRADLEY (MMS, PA-C)

  • 5717 Pacific Center Blvd Ste 200

    San Diego, CA 921214250

    Phone: (858) 859-1188

    Type: Location

  • 380 Stevens Ave

    Solana Beach, CA 920752063

    Phone: (408) 729-4290

    Type: Location

  • 4009, Kansas Street, North Park, San Diego, San Diego County, California, 92104, United States

    SAN DIEGO, CA 921042507

    Phone: (850) 380-9419

    Type: Mailing

  • 380, Stevens Avenue, Eden Gardens, Solana Beach, San Diego County, California, 92075, United States

    SOLANA BEACH, CA 920752063

    Phone: (408) 729-4290

    Type: Location

  • 6195 LUSK BLVD STE 250

    SAN DIEGO, CA 921213715

    Phone: (858) 859-1188

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92121)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234033853View full group profile
NameSpecialtyState
N E U R O L O G YCA
-CA
Family PracticeCA
-CA
Internal MedicineCA
Emergency MedicineCA
Physician AssistantCA
-CA
Cardiovascular Disease (Cardiology), Internal MedicineCA
-CA

Reviews

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Frequently asked questions

Is there an official ID for ELISE NICOLE BRADLEY (MMS, PA-C) in U.S. healthcare records?
The official identifier for ELISE NICOLE BRADLEY (MMS, PA-C) is NPI 1609351048.
Is ELISE NICOLE BRADLEY (MMS, PA-C) still an active registrant?
ELISE NICOLE BRADLEY (MMS, PA-C) carries an active NPI according to the public dataset.
What clinical focus is listed for ELISE NICOLE BRADLEY (MMS, PA-C)?
At a glance, ELISE NICOLE BRADLEY (MMS, PA-C) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ELISE NICOLE BRADLEY (MMS, PA-C)?
Travel planning: use San Diego, California as the reference point for ELISE NICOLE BRADLEY (MMS, PA-C), then confirm.
Can I trust this NPI listing for ELISE NICOLE BRADLEY (MMS, PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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