Odelia Braun, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G42515 Issued in CA

Practice address

17848 Bia de Fortuna
Rancho Santa Fe, CA 92067

Phone

(650) 365-3310

NPI assigned

Jan 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1609545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1902494313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 EL CAMINO REAL STE 150",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631262",
            "telephone_number": "650-365-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17848 BIA DE FORTUNA",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "92067",
            "telephone_number": "650-365-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "ODELIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-02",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G42515",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G42515",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle J. Beaupre, LCSW
• Bernadette Talaboc Bergancia, M.S.CCC-SLP
• Binh Nguyen Physical Therapy
• Alan Morton Blank, MD
• Trinity Azevedo Blitt, AU.D.
• Chelsie Bruno, L.AC.
• Leslie Buncher, MD
• Joseph Anthony Capozzi, M.D.
• Cristina Centuori, LMFT
• Nancy Sue Cetel, M.D.

• Emergency Medicine Physician in Rancho Santa Fe, CA
• Providers in Rancho Santa Fe, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.