Paola Bravo, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95348046 Issued in CA

Practice address

2364 S 2ND St
El Centro, CA 92243-9642

Phone

(760) 332-3303

NPI assigned

Nov 26, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jackson House El Centro

  • Mental Health Counselor
  • El Centro, CA
  • NPI 1063369528
  NPD (past)

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1568288306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2364 S 2ND ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922439642",
            "telephone_number": "760-332-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2364 S 2ND ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922439642",
            "telephone_number": "760-332-3303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "811 W Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Paula",
            "state": "CA",
            "postal_code": "930603009",
            "country_code": "US",
            "telephone_number": "805-265-4894",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1168 Leland Ave",
            "address_purpose": "LOCATION",
            "city": "Tulare",
            "state": "CA",
            "postal_code": "932747811",
            "country_code": "US",
            "telephone_number": "559-336-1776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28999 Old Town Front St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925902842",
            "country_code": "US",
            "telephone_number": "951-261-8392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAVO",
        "first_name": "PAOLA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-26",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95348046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Brambila
• Melanie Ailene Brambila
• Branch Medical Clinic El Centro
• Aaron Joseph Bravo
• German Bravo Jr.
• Susan Vicuna Bravo, F.N.P.
• Brawley Endoscopy & Surgery Med Ctr (Valley Endoscopy Center)
• Mayra Patricia Bretado, NP
• Brian Donnelly Terrien
• Elma V Briceno, LCSW

• Registered Nurse in El Centro, CA
• Providers in El Centro, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.