Rene H. Bravo MD Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

RENE H. BRAVO MD INC

Practice address

3241 S Higuera St
San Luis Obispo, CA 93401-6924

Phone

(805) 544-4460

Fax

(805) 544-4019

NPI assigned

Jun 27, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Rene Henry Bravo, M.D.NPI 1255373965

Title

President/Physician

Phone

(805) 544-4460

Specialties & licenses 1

Addresses

Other names 1

• Bravo Pediatrics Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rene Henry Bravo, MD

  • Pediatrics Physician
  • San Luis Obispo, CA
  • NPI 1255373965
  NPD (past) Authorized official
• Michelle Auran, M.D.

  • Pediatrics Physician
  • San Luis Obispo, CA
  • NPI 1437287505
  NPD (past)
• Alison Borgsmiller, ALISON

  • Family Medicine Physician
  • San Luis Obispo, CA
  • NPI 1558921775
  NPD (past)
• Guillemette Calderwood

  • Medical Physician Assistant
  • San Luis Obispo, CA
  • NPI 1023848165
  NPD (past)
• Ashley Nicole Landsman, M.D.

  • Pediatrics Physician
  • Palo Alto, CA
  • NPI 1902338650
  NPD (past)
• Sasha L. Szytel, MD

  • Pediatrics Physician
  • San Luis Obispo, CA
  • NPI 1578637179
  NPD (past)
• Sharon Watson, M.D.

  • Pediatrics Physician
  • San Luis Obispo, CA
  • NPI 1114989902
  NPD (past)

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1992290498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3241 S HIGUERA ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016924",
            "telephone_number": "805-544-4460",
            "fax_number": "805-544-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3241 S HIGUERA ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016924",
            "telephone_number": "805-544-4460",
            "fax_number": "805-544-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENE H. BRAVO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "BRAVO",
        "authorized_official_first_name": "RENE",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "805-544-4460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bravo Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Parker Reid
• Rem Diagnostics, Inc.
• Jennifer Remington, M.D.
• Paul M Remis, MD
• Susan E. Renard
• Renee Lauritzen MD a Professional Corporation
• Rescare Inc.
• Alexis Resendez, AMFT
• Hector Resendiz, LVN
• Kelly Resnick

• Pediatrics Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.