Kayla Marie Bravo, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC34252 Issued in CA

Practice address

100 Oconnor Dr Ste 25
San Jose, CA 95128-1638

Phone

(408) 271-2800

Fax

(408) 263-0331

NPI assigned

Dec 6, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kayla Marie Goulart Professional name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• A Family Chiropractic a Bravo Inc.

  • Chiropractor
  • San Jose, CA
  • NPI 1356058804
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1912441270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1768 PARKDALE WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951274640",
            "telephone_number": "408-903-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OCONNOR DR STE 25",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281638",
            "telephone_number": "408-271-2800",
            "fax_number": "408-263-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVO",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-06",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC34252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "GOULART",
            "middle_name": "MARIE",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Anisa Bravo, MD
• Anthony Andrew Bravo Sr.
• Jailine Bravo
• Jan S Bravo, MD
• Jilda Leonela Bravo
• Monica Alexandra Bravo
• Sandra Bravo, LCSW
• Wendy Bravo, MA
• Dana Louise Brawerman
• John Gray Brawley III, M.D.

• Chiropractor in San Jose, CA
• Providers in San Jose, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.