Maria Virginia Bravo-Espinoza, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60187 Issued in CA

Practice address

16147 Foothill Blvd
A
Fontana, CA 92335-0000

Phone

(909) 251-4721

Fax

(909) 202-4967

NPI assigned

Mar 23, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Maria Virginia Bravo -Espinoza DDS, Inc

  • Dentist
  • Fontana, CA
  • NPI 1083958961
  NPD Authorized official

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510185600000",
    "number": "1487953949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 HAVEN AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306958",
            "telephone_number": "909-240-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16147 FOOTHILL BLVD",
            "address_2": "A",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923350000",
            "telephone_number": "909-251-4721",
            "fax_number": "909-202-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVO-ESPINOZA",
        "first_name": "MARIA VIRGINIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-23",
        "last_updated": "2017-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Levon Dawntise Boutte, LVN
• Rayna Bowen
• Leilani Bowers
• Mildred Boykins, CRNA
• Lori Elizabeth Boyster
• Alexander Jason Bressler, DO
• John Albert Brett Jr., R.D.
• Amos Briggs
• Rory Scott Brinkerhoff, D.C.
• Marisol Brito

• General Practice Dentistry in Fontana, CA
• Providers in Fontana, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.