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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. RENE HENRY BRAVO MD
NPI 1255373965
Pediatrics in San Luis Obispo, CA

Active since June 10, 2006CLIA 05D1046523 · Waiver
620 CALIFORNIA BLVD, SUITE J, SAN LUIS OBISPO, CA 93401(805) 544-4460 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Rene Henry Bravo Md NPPES

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

DR. RENE HENRY BRAVO MD (NPI 1255373965) is an individual pediatrics provider in San Luis Obispo, California, licensed in California (G52562) and active in the NPI registry since June 2006. He holds a CLIA Waiver certificate valid through October 11, 2027.

NPPES Registry Identity

NPI1255373965
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. RENE HENRY BRAVOCredential: MD
Location Address620 CALIFORNIA BLVD, SUITE JSan Luis Obispo, CA 93401-2541
Mailing Address620 California Blvd, Suite JSan Luis Obispo, CA 93401-2541 · (805) 544-4460
Phone(805) 544-4460
Sole ProprietorNo
Enumeration DateJune 10, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1255373965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · G52562
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
620 CALIFORNIA BLVD, San Luis Obispo, CA 93401
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Other Identifiers 1

OtherG52562CA · Med License

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1046523

Rene H Bravo, MD, Inc Dba Bravo Pediatrics · San Luis Obispo, CA
Active · expires Oct 11, 2027
CLIA Number05D1046523
Laboratory TypePhysician Office
Certificate Effective DateOctober 12, 2025
Certificate Expiration DateOctober 11, 2027
Laboratory DirectorSasha Szytel
Laboratory Phone(805) 544-4460
Laboratory LocationRene H Bravo, MD, Inc Dba Bravo Pediatrics3241 S Higuera, San Luis Obispo, CA 93401
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

DR. ERNEST BURTON MILLER
Orthopaedic Surgery
620 CALIFORNIA BLVD, SUITE Q
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 541-0502
DR. JAMES A FORESTER DDS
Dentist (Pediatric Dentistry)
620 CALIFORNIA BLVD, SUITE G
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 592-2020
DR. RACHEL EULENBERG WILLIAMS DDS
Dentist (Pediatric Dentistry)
620 CALIFORNIA BLVD, SUITE G
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 592-2020
DR. ELIJAH UZOMA WOGU DO
Neurological Surgery
620 CALIFORNIA BLVD, J
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 543-4319
FIRST CHOICE PHYSICIAN PARTNERS
Psychiatry & Neurology (Neurology)
620 CALIFORNIA BLVD, STE J
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 547-2275
DR. SHERVIN GHOLIAN D.M.D., M.M.SC.
Dentist (Endodontics)
620 CALIFORNIA BLVD, SUITE G
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 543-7668
NEWSOM FORESTER DENTAL PARTNERSHIP
Dentist (Pediatric Dentistry)
620 CALIFORNIA BLVD, SUITE G
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 592-2020
DR. KENNETH HOWARD GERMANOW PH.D.
Psychologist (Clinical)
620 CALIFORNIA BLVD, SUITE P
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 596-5146

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 Rene Bravo's NPI number?

The NPI number for Rene Bravo is 1255373965. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Rene Bravo located?

Rene Bravo practices at 620 California Blvd Suite J, San Luis Obispo, CA 93401. The listed phone number is (805) 544-4460.

What is Rene Bravo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Rene Bravo hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1046523) is associated with this NPI, valid through October 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rene Bravo was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.