Active NPI
Lourdes Bravo Navea, PHYSICIAN ASSISTANT
- Pediatrics Physician
- Sacramento, CA
National Provider Identifier
1407989205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- PA13060
- Practice address
- 7501 Hospital Dr
Suite 203
Sacramento, CA 95823-5405 - Phone
- (916) 681-1130
- Fax
- (916) 681-1133
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | PA13060 | CA | Primary |
Addresses
Primary practice location
7501 Hospital Dr
Suite 203
Sacramento, CA 95823-5405
Mailing address
7501 Hospital Dr
Suite 203
Sacramento, CA 95823-5405
Phone (916) 681-1130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA13060 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacramento Valley Pediatrics Medical Group Inc | Past | Accepting new patients |
Interoperability endpoints
- lnavea13404@hpmg.direct-ci.net
Organizations & group practices 1
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.
-
- Pediatric Nurse Practitioner
- Sacramento, CA
- NPI 1326583030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407989205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7501 HOSPITAL DR",
"address_2": "SUITE 203",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958235405",
"telephone_number": "916-681-1130",
"fax_number": "916-681-1133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7501 HOSPITAL DR",
"address_2": "SUITE 203",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958235405",
"telephone_number": "916-681-1130",
"fax_number": "916-681-1133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAVEA",
"first_name": "LOURDES",
"middle_name": "BRAVO",
"name_prefix": "Mrs.",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "PA13060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.