Justine Marie Alicaya Braga, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95030640 Issued in CA

Practice address

3605 Long Beach Blvd Ste 201
Long Beach, CA 90807-4024

Phone

(626) 461-5638

Fax

(626) 461-5697

NPI assigned

Jun 20, 2024

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

State licenses

Practice roles

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.

• Covina CLHF Corporation

  • Skilled Nursing Facility
  • West Covina, CA
  • NPI 1861018327
  NPD Authorized official
• Lifetouch Care, Ic.

  • Skilled Nursing Facility
  • Arcadia, CA
  • NPI 1144731449
  NPD Authorized official

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1902640360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 LONG BEACH BLVD STE 201",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074024",
            "telephone_number": "626-461-5638",
            "fax_number": "626-461-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 LONG BEACH BLVD STE 201",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074024",
            "telephone_number": "626-461-5638",
            "fax_number": "626-461-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGA",
        "first_name": "JUSTINE MARIE",
        "middle_name": "ALICAYA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95086222",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Brady
• Jonathan Paul Brady, LMFT
• Raymond J Brady, D.D.S.
• Vivian Marybell Brady, PA-C
• Marina Braff
• Laurie V Brainerd, FNP-C
• Mario Ignacio Brakin, MD
• Aurelia Brambila
• Sabrina Marie Brambila, LPT
• Desiree Marni Bramlett, MFT

• Family Nurse Practitioner in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.

Verify at the official NPI Registry.