Active NPI
Moises Bravo Jr., MD
- Emergency Medicine Physician
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 27050
- Practice address
- 1411 East 31St Street, Qic 22123
Oakland, CA 94602-1092 - Phone
- (510) 437-4564
- NPI assigned
- Mar 25, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 27050 | NV | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1411 East 31St Street, Qic 22123
Oakland, CA 94602-1092
Mailing address
3117 Winter Sunset Ave
North Las Vegas, NV 89081-6497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1409 E Lake Mead Blvd
North Las Vegas, NV 89030-7120
Phone (702) 649-7711
275 W Macarthur Blvd
Oakland, CA 94611-5641
Phone (510) 752-1000
Hospital & facility affiliations
- North Vista Hospital
- Kaiser Foundation Hospital - Oakland/Richmond
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27050 | NV | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Permanente Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Superior Emergency Physicians Harris, PLLC | Emergency Medicine | Current | Accepting new patients |
| Permanente Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| North Vista Hospital LLC | Past | Accepting new patients |
Locations
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
1800 Harrison St
Fl 7
Oakland, CA 94612
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
275 W MacArthur Blvd
Piedmont, CA 94611
Phone (510) 752-1375
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
501 J St
Sacramento, CA 95814
Phone (916) 497-3000
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
1409 E Lake Mead Blvd
North Las Vegas, NV 89030
Phone (702) 649-7711
Interoperability endpoints
- mbravo670921@hisp.ehr.sutterhealth.org
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
Emergency Medicine
-
- Emergency Medicine Physician
- North Las Vegas, NV
- NPI 1356885222
-
- Internal Medicine Physician
- Vallejo, CA
- NPI 1336222397
Emergency Medicine
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
- General Acute Care Hospital
- North Las Vegas, NV
- NPI 1720037799
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1427123132
-
- General Acute Care Hospital
- North Las Vegas, NV
- NPI 1720037799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766016000000",
"number": "1225615248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3117 WINTER SUNSET AVE",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890816497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 EAST 31ST STREET, QIC 22123",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946021092",
"telephone_number": "510-437-4564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAVO",
"first_name": "MOISES",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-25",
"last_updated": "2025-12-18",
"certification_date": "2025-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NV",
"license": "27050",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.