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BRADLEY CURTIS IDELSHON D.O. NPI 1538125745


NPI Information

NPI: 1538125745
Provider Name: BRADLEY CURTIS IDELSHON, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1057 E GRAND AVE
ARROYO GRANDE, CA
ZIP 93420
Phone: (805) 270-1700
Get Directions

Bradley Curtis Idelshon, D.O. is a family medicine in Arroyo Grande, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Bradley Curtis Idelshon, D.O. NPI is 1538125745. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1057 E GRAND AVE
ARROYO GRANDE, CA
ZIP 93420-504
Phone: (805) 270-1700
Fax: (805) 481-7097

The NPI 1538125745 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/25/2006 and was last updated on 6/11/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine20A5884CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AY679YMEDICARE PINCALIFORNIA
2W1508MEDICARE PINCALIFORNIA
3W1508EMEDICARE PINCALIFORNIA
4E84206MEDICARE UPINCALIFORNIA
5551983MEDICARE OSCAR/CERTIFICATIONCALIFORNIA
6HAP71031FOTHERCALIFORNIAFAMILY PACK
7FHC71032FMEDICAIDCALIFORNIA
8W1508DMEDICARE OSCAR/CERTIFICATIONCALIFORNIA
9AY679WMEDICARE PINCALIFORNIA
10020A58841MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
11AY679XMEDICARE PINCALIFORNIA
12FHC71031FMEDICAIDCALIFORNIA
13551977MEDICARE OSCAR/CERTIFICATIONCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.