Individual provider Active NPI

Anaisa Sarai Bravo-Guzman

  • Community Health Worker
  • Santa Maria, CA
National Provider Identifier
1992560700
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
212 Carmen LN Ste 201
Santa Maria, CA 93458-7771
Phone
(805) 260-9324
NPI assigned
Feb 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

212 Carmen LN Ste 201
Santa Maria, CA 93458-7771

Mailing address

3494 Drake Dr
Santa Maria, CA 93455-2737
Phone (805) 878-7897

Other names 1

  • Ana Sarai Bravo-Guzman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1992560700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3494 DRAKE DR",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934552737",
            "telephone_number": "805-878-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 CARMEN LN STE 201",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934587771",
            "telephone_number": "805-260-9324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVO-GUZMAN",
        "first_name": "ANAISA",
        "middle_name": "SARAI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-05-10",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANA",
            "last_name": "BRAVO-GUZMAN",
            "middle_name": "SARAI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.