Active NPI
Braden Yzaguirre
- Physician Assistant
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA65348
- Practice address
- 2101 N Waterman Ave
San Bernardino, CA 92404-4836 - Phone
- (909) 379-9794
- NPI assigned
- Oct 1, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | CA | ||
| Physician Assistant | 363A00000X | PA65348 | CA | Primary |
Addresses
Primary practice location
2101 N Waterman Ave
San Bernardino, CA 92404-4836
Mailing address
152 E Hilton Ave
Redlands, CA 92373-6879
Phone (909) 379-9794
Other practice location 1
4371 Latham St
Riverside, CA 92501-1706
Phone (833) 867-4642
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1030 E Florida Ave
Hemet, CA 92543-4511
Phone (833) 867-4642
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA65348 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Current | Accepting new patients | |
| Neighborhood Healthcare | Current | Accepting new patients | |
| Neighborhood Healthcare | Current | Accepting new patients | |
| Neighborhood Healthcare | Past | Accepting new patients | |
| Neighborhood Healthcare | Past | Accepting new patients |
Locations
425 N Date St
Escondido, CA 92025
Phone (760) 737-2035
425 N Date St
#0
Escondido, CA 92025
215 S Hickory St
Escondido, CA 92025
Phone (619) 354-3833
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
4371 Latham St
Ste 200
Riverside, CA 92501
4371 Latham St
Riverside, CA 92501
2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305
41840 Enterprise Cir N
Temecula, CA 92590
Phone (951) 225-6400
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 6
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.
-
dba Neighborhood Healthcare - Escondido
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1598703647
-
dba Neighborhood Healthcare - Beaumont
- Federally Qualified Health Center (FQHC)
- Beaumont, CA
- NPI 1629601653
-
dba Neighborhood Healthcare - Devonshire Avenue
- Federally Qualified Health Center (FQHC)
- Hemet, CA
- NPI 1154786846
-
dba Neighborhood Healthcare Riverside
- Federally Qualified Health Center (FQHC)
- Riverside, CA
- NPI 1447847207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753747200000",
"number": "1861210452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 E HILTON AVE",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923736879",
"telephone_number": "909-379-9794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 N WATERMAN AVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924044836",
"telephone_number": "909-379-9794"
}
],
"practiceLocations": [
{
"address_1": "4371 Latham St",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925011706",
"country_code": "US",
"telephone_number": "833-867-4642",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YZAGUIRRE",
"first_name": "BRADEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-01",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA65348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.