Individual provider · Type 1 NPI

Elise Nicole Bradley, MMS, PA-C

Physician Assistant · San Diego, CA

NPI number 1609351048 Active

Practice location

6195 Lusk Blvd Ste 250
San Diego, CA 92121-3715

Call (858) 859-1188 Map

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1609351048

Elise Nicole Bradley, MMS, PA-C's National Provider Identifier is 1609351048, issued on Oct 2, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in San Diego, CA. The record was last updated on Sep 21, 2025.