ARLENE BRAVO (NPI# 1528488350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528488350 |
| Entity Type | Individual |
| Full Name | ARLENE BRAVO |
| Credential | M.D., PH.D. |
| Practice Address |
9500 Gilman Dr # Mc0656 La Jolla CA 92093 |
| Mailing Address |
9500 Gilman Dr # Mc0656 La Jolla CA 92093-5004 |
| Practice Telephone | 8582460938 |
| Mailing Telephone | 8582460938 |
| Enumeration Date | 2014-04-19 |
| Last Update Date | 2018-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A142116 | CA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | A142116 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11370 Anderson St Ste 3600, Loma Linda, CA 923543450 | 9095582870 |
| Street Address |
9500 GILMAN DR # MC0656 |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902442908 | Forrest N Ridgway | Pharmacist | 3855 Health Sciences Drive #0845, La Jolla, CA 92093 | 2019-11-25 |
| 1578060067 | Michelle Sloan | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr #0851, La Jolla, CA 92093 | 2018-04-10 |
| 1114372471 | Kevin Ting | Internal Medicine | 9500 Gilman Dr # Mc7411, La Jolla, CA 92093 | 2016-04-24 |
| 1225490147 | Karen Tye | Student in an Organized Health Care Education/Training Program | 3960 Health Sciences Drive, La Jolla, CA 92093 | 2016-03-22 |
| 1457716615 | Christine Pulido | Student in an Organized Health Care Education/Training Program | 9500 Gilman Drive #0851, La Jolla, CA 92093 | 2015-12-15 |
| 1467830489 | Justin Arshed Shaya | Internal Medicine | 3855 Health Sciences Dr #0829, La Jolla, CA 92093 | 2015-05-11 |
| 1225425606 | Brad Hiroshi Kimura | Internal Medicine | 9500 Gilman Dr # Mc9111g, La Jolla, CA 92093 | 2015-04-23 |
| 1407241169 | Courtney Holmes Mckee | Emergency Medicine | 3855 Health Sciences Drive Mc0987, La Jolla, CA 92093 | 2015-03-31 |
| 1710237391 | Chaitanya Pabbati | Psychiatry & Neurology | 9500 Gillman Drive #9116a, La Jolla, CA 92093 | 2012-09-11 |
| 1831323369 | Srila Gopal | Internal Medicine | 9500 Gilman Dr # Mc0878, La Jolla, CA 92093 | 2009-05-12 |
| Find all providers in zip 92093 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992986 | Lindsay Fry | General Practice | 375 Bonair St Apt 1, La Jolla, CA 92037-5911 | 2020-11-04 |
| 1437538725 | Brian H. Graham Md Inc | General Practice | 6455 La Jolla Blvd, #315, La Jolla, CA 92037-6627 | 2015-05-20 |
| 1790183788 | Maria S. Mccutchan | General Practice | 8766 Caminito Abrazo, La Jolla, CA 92037-1601 | 2014-12-08 |
| 1063843936 | John Raymond Whiteman | General Practice | 2546 Azure Coast Dr, La Jolla, CA 92037-3510 | 2013-12-03 |
| 1184966442 | John Daniel Dobak IIi | General Practice | 5330 Chelsea St, La Jolla, CA 92037-7912 | 2013-03-25 |
| 1720326176 | Bernard Goodhead | General Practice | 1395 Park Row, La Jolla, CA 92037-3708 | 2013-01-18 |
| 1952648727 | Jonathan Blair Zifferblatt | General Practice | 1417 Caminito Batea, La Jolla, CA 92037-7178 | 2013-01-13 |
| 1992049407 | Gerald F Joyce | General Practice | 10550 N Torrey Pines Rd, The Scripps Research Institute, Mb42, La Jolla, CA 92037-1000 | 2012-11-21 |
| 1497016950 | David Oscher Katzman | General Practice | 2815 Caminito Merion, La Jolla, CA 92037-5817 | 2012-05-31 |
| 1003073719 | George D Weiss | General Practice | 4130 La Jolla Village Dr Ste 105, La Jolla, CA 92037-1480 | 2008-05-20 |
| Find all providers in LA JOLLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.