Active NPI
Jodessa Braga, NBC-HWC
- Health & Wellness Coach
- Temecula, CA
National Provider Identifier
1609645332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Practice address
- 30015 Calle Halcon
Temecula, CA 92592-5107 - Phone
- (858) 888-2007
- NPI assigned
- Dec 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | CA | Primary |
Addresses
Primary practice location
30015 Calle Halcon
Temecula, CA 92592-5107
Mailing address
28360 Old Town Front Street
#529
Temecula, CA 92590-0529
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1609645332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28360 OLD TOWN FRONT STREET",
"address_2": "#529",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925900529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30015 CALLE HALCON",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925925107",
"telephone_number": "858-888-2007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAGA",
"first_name": "JODESSA",
"credential": "NBC-HWC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-21",
"last_updated": "2024-05-06",
"certification_date": "2024-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.