NPIMap

Individual provider Active NPI

Ira Richard Braverman, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • National City, CA
National Provider Identifier
1124039755
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
A37912 Issued in CA
Practice address
610 Euclid Avenue
Suite 201
National City, CA 91950
Phone
(619) 267-8181
Fax
(619) 479-6750
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A37912 CA Primary

Addresses

Primary practice location

610 Euclid Avenue
Suite 201
National City, CA 91950

Mailing address

610 Euclid Avenue
Suite 201
National City, CA 91950
Phone (619) 267-8181

Other identifiers 1

IdentifierTypeStateIssuer
00A379120MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080522000431 CA Practitioner - Internal Medicine 7416026026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

610 Euclid Ave
Suite 201
National City, CA 91950-2952
Phone (619) 267-8181

Hospital & facility affiliations

  • Modern Home Health Care Inc Home health agency, Chula Vista, CA, CCN 059391
  • Archer Health Inc Home health agency, Carlsbad, CA, CCN 053124
  • Lorian Health Home health agency, San Diego, CA, CCN 058113
  • A Better Solution in Home Care Home health agency, San Diego, CA, CCN 053116
  • Mission Home Health of San Diego LLC Home health agency, San Diego, CA, CCN 557711
  • Together Hospice Care LLC Hospice, La Mesa, CA, CCN 751563
  • Sharp Chula Vista Medical Center Hospital, Chula Vista, CA, CCN 050222
  • Grossmont Hospital Hospital, La Mesa, CA, CCN 050026
  • Sharp Coronado Hospital and Hlthcr Ctr Hospital, Coronado, CA, CCN 050234
  • Paradise Valley Hospital Hospital, National City, CA, CCN 050024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A37912CAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ira R. Braverman, M. D. Inc. CurrentSince Jan 1, 1973 Accepting new patients
Paradise Valley Hospital Past Accepting new patients

Locations

610 Euclid Ave
Ste 201
National City, CA 91950
Phone (619) 267-8181

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124039755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 EUCLID AVENUE",
            "address_2": "SUITE 201",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "91950",
            "telephone_number": "619-267-8181",
            "fax_number": "619-479-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 EUCLID AVENUE",
            "address_2": "SUITE 201",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "91950",
            "telephone_number": "619-267-8181",
            "fax_number": "619-479-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVERMAN",
        "first_name": "IRA",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A37912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A379120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

Verify at the official NPI Registry.