MEDICARE: BRIANNA NICOLE STRALEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant		CA

General Provider Information

NPI Number	:	1164383626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANNA NICOLE STRALEY

Provider Business Mailing Address
First Line	:	23 VIA ENCANTO
Second Line	:
City	:	RANCHO SANTA MARGARITA
State	:	CA
Zip	:	92688-4942
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	23 VIA ENCANTO
Second Line	:
City	:	RANCHO SANTA MARGARITA
State	:	CA
Zip	:	92688-4942
Country	:	US
Telephone Number	:	760-846-6845
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2025
Last Update Date	:	11/22/2025

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Directions to “ BRIANNA NICOLE STRALEY ” Practice Location

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