JAN S BRAVO MD
NPI 1083651657
Emergency Medicine in San Jose, CA

Active since June 01, 2006
2105 FOREST AVE, SAN JOSE, CA 95128(408) 947-2500(818) 587-2493 Get Directions Write a Review

NPPES record last updated: August 4, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jan S Bravo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAN S BRAVO MD (NPI 1083651657) is an individual emergency medicine provider in San Jose, California, licensed in California (A43844) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1083651657
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameJAN S BRAVOCredential: MD
Location Address2105 FOREST AVESan Jose, CA 95128-1425
Mailing AddressPo Box 4419Woodland Hills, CA 91365-4419 · (888) 620-3100 · Fax (818) 587-2493
Fax(818) 587-2493
Sole ProprietorYes
Enumeration DateJune 1, 2006
Last NPPES UpdateAugust 4, 2014
NPI 1083651657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in CA · A43844
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

2105 FOREST AVE, San Jose, CA 95128

Other Identifiers 4

Medicare UPINF00339CA
Medicaid00A438440CA
Other00A438440CA · Blue Shield
Medicare ID-Type Unspecified00A438440CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
2105 FOREST AVE
SAN JOSE, CA 95128
Perfusionist
2105 FOREST AVE
SAN JOSE, CA 95128
Emergency Medicine
2105 FOREST AVE
SAN JOSE, CA 95128
Student in an Organized Health Care Education/Training Program
2105 FOREST AVE
SAN JOSE, CA 95128
Pharmacist
2105 FOREST AVE
SAN JOSE, CA 95128
Emergency Medicine
2105 FOREST AVE
SAN JOSE, CA 95128
Physical Therapist
2105 FOREST AVE
SAN JOSE, CA 95128
Nurse Practitioner (Family)
2105 FOREST AVE
SAN JOSE, CA 95128

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jan Bravo's NPI number?

The NPI number for Jan Bravo is 1083651657. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Jan Bravo located?

Jan Bravo practices at 2105 Forest Ave, San Jose, CA 95128. The listed phone number is (408) 947-2500.

What is Jan Bravo's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Jan Bravo was last updated on August 4, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.