Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Brenitta Gilliam-Udo, PA-C

Individual provider Physician Assistant · NPI 1336396548

Mrs. Brenitta Gilliam-Udo, PA-C is a Physician Assistant in San Bernardino, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
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

351 N Mountain View Ave
San Bernardino, CA 92415-1018
Phone: (714) 748-8955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15518 (CA)

Record details

NPI number1336396548
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 20, 2008
Last updated in NPPESAugust 20, 2008

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