Individual provider Active NPI

Francisco Abreu Bracho, M.D.

  • Pediatric Hematology & Oncology Physician
  • Ventura, CA
National Provider Identifier
1154329209
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
G079747 Issued in CA
Practice address
3291 Loma Vista Rd
Suite 301 BLDG 340
Ventura, CA 93003-3099
Phone
(805) 652-6120
Fax
(805) 652-6136
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X G079747 CA Primary

Addresses

Primary practice location

3291 Loma Vista Rd
Suite 301 BLDG 340
Ventura, CA 93003-3099

Mailing address

PO Box 631856
Baltimore, MD 21263-1856

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080310000526 CA Practitioner - Hematology/OncologyPractitioner - Pediatric Medicine 5799860102 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G079747CAMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura Current Accepting new patients
Children'S Hospital Los Angeles Medical Group, Inc. CurrentSince Feb 2, 2017 Accepting new patients
County of Ventura CurrentSince Dec 29, 2015 Accepting new patients
County of Ventura CurrentSince Dec 29, 2015 Accepting new patients
Childrens Hospital of Los Angeles Past Accepting new patients
Medstar Georgetown Medical Center, Inc Past Accepting new patients
Children'S Hospital Los Angeles Past Accepting new patients
Chla Teaching Clinics LLC Past Accepting new patients

Locations

4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122

800 S Victoria Ave
#L4640
Ventura, CA 93009

3291 Loma Vista Rd
Ste 301
Ventura, CA 93003
Phone (805) 652-6120

3291 Loma Vista Rd
Bldg 340
Ventura, CA 93003
Phone (805) 652-6218

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1154329209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631856",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212631856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3291 LOMA VISTA RD",
            "address_2": "SUITE 301 BLDG 340",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033099",
            "telephone_number": "805-652-6120",
            "fax_number": "805-652-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACHO",
        "first_name": "FRANCISCO",
        "middle_name": "ABREU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "CA",
            "license": "G079747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.