Active NPI
Anaisa Sarai Bravo-Guzman
- Community Health Worker
- Santa Maria, CA
National Provider Identifier
1992560700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.