Active NPI
Lawrence Bravo Devera, DC
- Chiropractor
- Ontario, CA
National Provider Identifier
1720960867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC37367
- Practice address
- 4259 E Carmel Privado
Ontario, CA 91761-0639 - Phone
- (323) 250-9489
- NPI assigned
- Jul 21, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC37367 | CA | Primary |
Addresses
Primary practice location
4259 E Carmel Privado
Ontario, CA 91761-0639
Mailing address
18101 Krameria Ave
Riverside, CA 92508-8218
Phone (323) 369-8646
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 |
|---|---|---|---|
| DC37367 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1720960867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18101 KRAMERIA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925088218",
"telephone_number": "323-369-8646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4259 E CARMEL PRIVADO",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917610639",
"telephone_number": "323-250-9489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVERA",
"first_name": "LAWRENCE",
"middle_name": "BRAVO",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-21",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC37367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.