Brave Roots Health LLC

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

Legal business name

BRAVE ROOTS HEALTH LLC

Practice address

1977 Rainbow Ridge St
Corona, CA 92882-5150

Phone

(562) 412-8589

NPI assigned

Sep 24, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Shelisa Guerrero

Title

Administrator

Phone

(562) 412-8589

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1508739764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1977 RAINBOW RIDGE ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928825150",
            "telephone_number": "562-412-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1977 RAINBOW RIDGE ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928825150",
            "telephone_number": "562-412-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVE ROOTS HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "SHELISA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "562-412-8589",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Administrator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Hoang Dental Corporation
• Meghan Brandt
• Josh Brannen
• Kammi Brantley
• Simran Brar, DO
• William Bray
• Breathe Diagnostics, Inc.
• Nicholas Breckon
• Deallean Breland
• Brett P. Bowman OD., Professional Optometry Corporation

• Administrator Registered Nurse in Corona, CA
• Providers in Corona, CA by specialty
• Administrator Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.