Individual provider Active NPI

Ritchell Braganza, NP

  • Family Nurse Practitioner
  • Santa Clarita, CA
National Provider Identifier
1760074777
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95015766 Issued in CA
Practice address
25880 McBean Pkwy
Santa Clarita, CA 91355-2004
Phone
(661) 254-3766
NPI assigned
Feb 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Family Nurse Practitioner 363LF0000X 95015766 CA Primary

Addresses

Primary practice location

25880 McBean Pkwy
Santa Clarita, CA 91355-2004

Mailing address

15121 Carey View St
Sylmar, CA 91342-5518
Phone (818) 280-7888

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210511002093 CA Practitioner - Nurse Practitioner 7214346865 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic Medical Group of California Inc Clinic/Center CurrentSince Feb 18, 2021 Accepting new patients

Locations

1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210

25880 McBean Pkwy
Valencia, CA 91355
Phone (661) 254-3766

2791 Agoura Rd
Westlake Village, CA 91361
Phone 8054954938 ext. 8221

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1760074777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15121 CAREY VIEW ST",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913425518",
            "telephone_number": "818-280-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25880 MCBEAN PKWY",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913552004",
            "telephone_number": "661-254-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGANZA",
        "first_name": "RITCHELL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95015766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.