Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elise Nicole Bradley, MMS, PA-C

Individual provider Physician Assistant · NPI 1609351048

Elise Nicole Bradley, MMS, PA-C is a Physician Assistant in San Diego, California. Practices as a sole proprietor and works from 3 locations. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6195 Lusk Blvd Ste 250
San Diego, CA 92121-3715
Phone: (858) 859-1188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5717 Pacific Center Blvd Ste 200, San Diego, CA 92121-4250 — (858) 859-1188
  • 380 Stevens Ave, Solana Beach, CA 92075-2063 — (408) 729-4290

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1609351048
Entity typeIndividual (Type 1)
GenderFemale
Credentials MMS , PA-C
Sole proprietorYes
NPI enumeratedOctober 2, 2018
Last updated in NPPESSeptember 21, 2025
Certification dateSeptember 21, 2025

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