Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jonathan Bradley

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104796481

Jonathan Bradley is a Student in an Organized Health Care Education/Training Program in Corcoran, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

4001 King Ave
Corcoran, CA 93212-9611
Phone: (559) 992-8800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (CA)

Record details

NPI number1104796481
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 11, 2025
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025
Mailing address1201 2nd St, Wasco, CA 93280-1310

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